| Tidelands Health Family Medicine | |
|
12117 Ocean Hwy Pawleys Island SC 29585 | |
| (843) 237-8231 | |
| (843) 237-8551 |
| Full Name | Tidelands Health Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 12117 Ocean Hwy, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Elizabeth Sutherland Ward (EVP & CFO) |
| Authorized Official Contact | 8435277102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidelands Health Family Medicine Po Box 421718 Georgetown SC 29442-4203 Ph: (843) 520-8883 | Tidelands Health Family Medicine 12117 Ocean Hwy Pawleys Island SC 29585 Ph: (843) 237-8231 |
| NPI Number | 1811233562 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811233562 | NPI | - | NPPES |
| GP6125 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ruwach Counseling & Consulting Services, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Centermarsh Ln, Pawleys Island, SC 29585 Phone: 843-344-0172 | |
Southeast Maternal Medical Maternal & Pediatric Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585 Phone: 843-310-4650 | |
Willow Oak Counseling And Behavioral Services, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585 Phone: 843-779-2264 Fax: 866-580-4842 | |
Applied Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Commons Ct, Pawleys Island, SC 29585 Phone: 843-235-9745 Fax: 765-628-7401 | |
Island Family Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12117 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-237-8231 | |
Angela K Jones Ma Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10023 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-314-8002 | |
Amy M. Kinard, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201a Business Center Dr, Pawleys Island, SC 29585 Phone: 843-237-9789 |