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Organization

ELIZABETH C. GRUENEBERGER

Active
Other names
Tidehaven Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH C GRUENEBERGER M.D. (OWNER)
(843) 971-8808
Entity
Organization

Contact information

Practice address
519 LIVE OAK DR, MOUNT PLEASANT, SC 29464-4365
(843) 971-8808
(843) 971-9636
Mailing address
519 LIVE OAK DR, MOUNT PLEASANT, SC 29464-4365
(843) 971-8808
(843) 971-9636

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
31920
SC

Other

Enumeration date
01/28/2016
Last updated
05/05/2022
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