| Tenet South Carolina Island Medical, Llc | |
|
245 Seven Farms Dr Suite 110 Daniel Island SC 29492-8500 | |
| (843) 856-1771 | |
| (843) 856-8788 |
| Full Name | Tenet South Carolina Island Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 245 Seven Farms Dr, Daniel Island, South Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenet South Carolina Island Medical, Llc Po Box 741439 Atlanta GA 30374-1439 Ph: (843) 856-1771 | Tenet South Carolina Island Medical, Llc 245 Seven Farms Dr Suite 110 Daniel Island SC 29492-8500 Ph: (843) 856-1771 |
| NPI Number | 1053612861 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053612861 | NPI | - | NPPES |
| GP5667 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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