Graduated: 2019
NPI: 1538755301
Practice Locations (2)
TIDELANDS GHS JOINT VENTURE LLC
1600 FARROW PKWY, UNIT B6
MYRTLE BEACH, SC 295772011
8435463410
SC PAIN AND SPINE SPECIALISTS, LLC
4112 CAROLINA COMMERCIAL DR
MYRTLE BEACH, SC 295794223
8438397246
Source: CMS National Downloadable File, September 2026.