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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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