Tidewater Internal Medicine Ii Llc in Charleston - Primary Care
Tidewater Internal Medicine Ii Llc - NPI 1750577391
Tidewater Internal Medicine Ii Llc is a Primary Care in Charleston, South Carolina. Tidewater Internal Medicine Ii Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Tidewater Internal Medicine Ii Llc is 1750577391. The last update date is 2007-09-18.
Tidewater Internal Medicine Ii Llc's current location address is 2097 Henry Tecklenburg Dr, Charleston, South Carolina. You can contact this provider via phone number 4049430205. The mailing address for Tidewater Internal Medicine Ii Llc is 2097 Henry Tecklenburg Dr, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Internal Medicine Ii Llc |
|---|---|
| Address | 2097 Henry Tecklenburg Dr, Charleston, South Carolina |
| Phone Number | 4049430205 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LEAD |
|---|---|
| Authorized Official Name | Holden Alicia |
| Credentials | ACCOUNTING |
| Telephone Number | 4049430205 |
NPI Number Detail
| NPI Number | 1750577391 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 2097 Henry Tecklenburg Dr |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294145740 |
| Phone Number | 4049430205 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tidewater Internal Medicine Ii Llc by the Centers for Medicare & Medicaid Services?
The Tidewater Internal Medicine Ii Llc has been assigned the NPI (National Provider Identifier) 1750577391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Tidewater Internal Medicine Ii Llc is physically located?
The Tidewater Internal Medicine Ii Llc is situated at the following address: 2097 Henry Tecklenburg Dr, Charleston, SC 294145740.
What is Tidewater Internal Medicine Ii Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tidewater Internal Medicine Ii Llc is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750577391 to Tidewater Internal Medicine Ii Llc?
The Centers for Medicare & Medicaid Services originally issued the 1750577391 to Tidewater Internal Medicine Ii Llc on 2007-09-18.
As of what date were the details pertaining to Tidewater Internal Medicine Ii Llc last refreshed?
The information related to the Tidewater Internal Medicine Ii Llc, including its address, specialty, and other relevant details, was last updated on 2007-09-18.
NPI Number: 1457354235
Address: Po Box 636256 Central Credentialing, Cincinnati, OH