Organization
TIDELANDS ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BEADLE (EVP & CFO)
(843) 520-8617
Entity
Organization
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
(843) 520-8403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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