# TIDELANDS HEALTH ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tidelands Health Surgery Center at The Market Common
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194344606
- **Authorized official:** ERIN BEADLE (EVP/CFO)
- **Authorized official phone:** (843) 520-8617

## Contact information

- **Practice address:** 2200 CROW LN STE 102, MYRTLE BEACH, SC 29577-1663
- **Practice address phone:** (843) 848-5120
- **Practice address fax:** (843) 848-5125
- **Mailing address:** PO BOX 421718, GEORGETOWN, SC 29442-4203
- **Mailing address phone:** (843) 527-7000
- **Mailing address fax:** (843) 848-5125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/16/2026
