Organization
TIDELANDS GHS JOINT VENTURE LLC
Active
Parent organization
TIDELANDS GHS JOINT VENTURE LLC
Other names
Tidelands Community Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDELANDS GHS JOINT VENTURE LLC
Authorized official
JULIA DOAR STALVEY (CFO)
(843) 546-3410
Entity
Organization
Contact information
Practice address
2591 N FRASER ST, GEORGETOWN, SC 29440-6411
(843) 546-3410
(843) 527-6964
Mailing address
2591 N FRASER ST, GEORGETOWN, SC 29440-6411
(843) 546-3410
(843) 527-6964
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/14/2023
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