Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDEWATER INTERNAL MEDICINE, LLC
Active OrganizationTIDEWATER INTERNAL MEDICINE, LLC is a Primary Care Clinic organization located in CHARLESTON, South Carolina. NPI 1770510695 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · CHARLESTON, SC
Registration Details
- NPI Number
- 1770510695
- Provider Type
- Organization
- NPI Issued
- Jun 27, 2006 (19.945231296758 yrs)
- Last Updated
- Oct 4, 2007
- License
-
19466 (SC)
Practice Information
- Address
-
2097 HENRY TECKLENBURG DRSUITE 220CHARLESTON, SC, 294145740Browse SC providers · Browse ZIP 29414
- Phone
- 8435716868
- Fax
- 8435716198
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Other Primary Care Clinic Organizations in CHARLESTON, SC
| Name | NPI |
|---|---|
| CHARLESTON INTERNAL MEDICINE, LLC | 1235108721 |
| TRIDENT MEDICAL SERVICES D/B/A TRIDENT SENIOR HEALTH CENTER | 1740394071 |
| SMARTCARE OPERATIONS GROUP, INC. | 1205933587 |
| CHARLESTON MEDICAL CLINIC | 1326246695 |
| TIDEWATER INTERNAL MEDICINE II LLC | 1750577391 |
| ACTIVE LIFE, LLC | 1245549096 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.