| Tides Gastroenterology, Llc | |
|
159 E Shipyard Rd Mt Pleasant SC 29464-2677 | |
| (843) 743-4241 | |
| Not Available |
| Full Name | Tides Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 159 E Shipyard Rd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Jeffrey Dorociak (PRESIDENT) |
| Authorized Official Contact | 8437434241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Gastroenterology, Llc 159 E Shipyard Rd Mt Pleasant SC 29464-2677 Ph: () - | Tides Gastroenterology, Llc 159 E Shipyard Rd Mt Pleasant SC 29464-2677 Ph: (843) 743-4241 |
| NPI Number | 1437566510 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437566510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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