Tidewater Surgical Group, Pa in North Charleston - Surgery
Tidewater Surgical Group, Pa - NPI 1598835639
Tidewater Surgical Group, Pa is a Surgery in North Charleston, South Carolina. Tidewater Surgical Group, Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Tidewater Surgical Group, Pa is 1598835639. The last update date is 2020-08-22.
Tidewater Surgical Group, Pa's current location address is 2831b Tricom St, North Charleston, South Carolina. You can contact this provider via phone number 8437978880 and fax number 8437978884. The mailing address for Tidewater Surgical Group, Pa is 2831b Tricom St, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Surgical Group, Pa |
|---|---|
| Address | 2831b Tricom St, North Charleston, South Carolina |
| Phone Number | 8437978880 |
| Fax Number | 8437978884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Tyler Veronica Lorraine |
| Telephone Number | 8437978880 |
NPI Number Detail
| NPI Number | 1598835639 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2831b Tricom St |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069172 |
| Phone Number | 8437978880 |
| Fax Number | 8437978884 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | G93021 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP4370 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tidewater Surgical Group, Pa by the Centers for Medicare & Medicaid Services?
The Tidewater Surgical Group, Pa has been issued the NPI (National Provider Identifier) 1598835639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tidewater Surgical Group, Pa is located?
The Tidewater Surgical Group, Pa is situated at the following address: 2831B Tricom St, North Charleston, SC, 294069172.
What is Tidewater Surgical Group, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tidewater Surgical Group, Pa is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598835639 to Tidewater Surgical Group, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1598835639 to Tidewater Surgical Group, Pa on 2006-11-08.
As of what date were the details related to Tidewater Surgical Group, Pa most recently updated or revised?
The information pertaining to Tidewater Surgical Group, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.