TIDEWATER INTERNAL MEDICINE, LLC

Clinic/Center - Primary Care

Active Organization
NPI: 1770510695

Practice Address

2097 HENRY TECKLENBURG DR
SUITE 220
Charleston, SC 29414

Phone: (843) 571-6868

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X Yes 19466 (SC)

Frequently Asked Questions

NPI 1770510695 is the National Provider Identifier for TIDEWATER INTERNAL MEDICINE, LLC, a Clinic/Center - Primary Care provider located in Charleston, SC. This NPI was enumerated on June 27, 2006.

Quick Facts

NPI
1770510695
Type
Organization
Enumerated
Jun 27, 2006
Last Updated
Oct 4, 2007

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