Organization · Type 2 NPI

Tidelands Health Asc LLC

Ambulatory Surgical Clinic/Center · Myrtle Beach, SC

NPI number 1194344606 Active

Practice location

2200 Crow Ln Ste 102
Myrtle Beach, SC 29577-1663

Call (843) 848-5120 Map

Fax (843) 848-5125

Mailing address

PO Box 421718
Georgetown, SC 29442-4203

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1194344606
Entity type: Organization (Type 2)
Issued: Apr 14, 2020
Last updated: Apr 16, 2026
Status: Active

Other names

<unavail>
Tidelands Health Surgery Center at the Market Common · doing business as
Tidelands Health Surgery Center at the Market Common · doing business as

Authorized official

Erin Beadle
EVP/cfo
(843) 520-8617

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194344606

Tidelands Health Asc LLC's National Provider Identifier is 1194344606, issued on Apr 14, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Myrtle Beach, SC. The record was last updated on Apr 16, 2026.