# ADVANCED DISEASE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417301896
- **Authorized official:** LISA TARBERT MD (CEO)
- **Authorized official phone:** (843) 945-1151

## Contact information

- **Practice address:** 107 WOODWIND CT, MYRTLE BEACH, SC 29572-4119
- **Practice address phone:** (843) 945-1151
- **Mailing address:** 107 WOODWIND CT, MYRTLE BEACH, SC 29572-4119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 26891 | SC | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 04/21/2016