TIDEWATER INTERNAL MEDICINE II LLC

Clinic/Center - Primary Care

Active Organization
NPI: 1750577391

Practice Address

2097 HENRY TECKLENBURG DR
SUITE 301
Charleston, SC 29414

Phone: (404) 943-0205

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X Yes -

Frequently Asked Questions

NPI 1750577391 is the National Provider Identifier for TIDEWATER INTERNAL MEDICINE II LLC, a Clinic/Center - Primary Care provider located in Charleston, SC. This NPI was enumerated on September 18, 2007.

Quick Facts

NPI
1750577391
Type
Organization
Enumerated
Sep 18, 2007
Last Updated
Sep 18, 2007

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