institution
Tidewater Internal Medicine, Llc
Primary Care Clinic/Center in Charleston, South Carolina
NPI 1770510695

Tidewater Internal Medicine, Llc is a Primary Care Clinic/Center based in Charleston, SC and is specialized in Primary Care. Tidewater Internal Medicine, Llc practices in Charleston, SC. The NPI Number for Tidewater Internal Medicine, Llc is 1770510695 and holds a License No. 19466 (South Carolina).

The current practice location address for Tidewater Internal Medicine, Llc is 2097 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-571-6868 and via fax at 843-571-6198. You can also correspond with Tidewater Internal Medicine, Llc through the mailing address at 2097 HENRY TECKLENBURG DR, CHARLESTON, SC - 29414-5740 (mailing address contact number: 843-571-6868).

Location: 2097 Henry Tecklenburg Dr, Charleston, SC, 29414-5740
institution
Provider Profile Details
NPI Number
1770510695
Provider Name
Tidewater Internal Medicine, Llc
Credential
Provider Entity Type
Organization
Address
2097 Henry Tecklenburg Dr, Charleston, SC, 29414-5740
Phone Number
843-571-6868
Fax Number
843-571-6198
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2097 Henry Tecklenburg Dr
City
State
Zip
29414-5740
Phone Number
843-571-6868
Fax Number
843-571-6198
person
Provider Business Mailing Address Details
Address
2097 Henry Tecklenburg Dr
City
State
Zip
29414-5740
Phone Number
843-571-6868
Fax Number
843-571-6198
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
19466 (South Carolina)
Definition
Definition to come...
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