Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidelands Anesthesia Group LLC

Organization Anesthesiology Physician · NPI 1578346821

Tidelands Anesthesia Group LLC is an Anesthesiology Physician in Georgetown, South Carolina. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

606 Black River Rd
Georgetown, SC 29440-3304
Phone: (843) 527-7000
Fax: (843) 520-8403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4070 Highway 17, Murrells Inlet, SC 29576-5033 — (843) 652-1000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1578346821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Shaffer Beadle — Evp & Cfo · (843) 520-8617
NPI enumeratedAugust 18, 2023
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing addressPo Box 421718, Georgetown, SC 29442-4203

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