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Organization
TENET SOUTH CAROLINA ISLAND MEDICAL, LLC
Active
Organization
TENET SOUTH CAROLINA ISLAND MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
245 SEVEN FARMS DR, SUITE 110, DANIEL ISLAND, SC 29492-8500
(843) 856-1771
(843) 856-8788
Mailing address
PO BOX 741439, ATLANTA, GA 30374-1439
(843) 856-1771
(843) 856-8788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5667
—
SC
Enumeration date
11/10/2010
Last updated
07/28/2016
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