Organization
TIDELANDS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER ELISE KELLY (APRN)
(631) 327-8894
Entity
Organization
Contact information
Practice address
11916 HIGHWAY 707 STE D, MURRELLS INLET, SC 29576-9610
(843) 652-8450
Mailing address
6723 GENESIS DRIVE, MURRELLS INLET, SC 29576
(631) 327-8894
(631) 327-8894
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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