Tidewater Internal Medicine, Llc in Charleston - Primary Care
Tidewater Internal Medicine, Llc - NPI 1770510695
Tidewater Internal Medicine, Llc is a Primary Care in Charleston, South Carolina. Tidewater Internal Medicine, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Tidewater Internal Medicine, Llc is 1770510695. The last update date is 2007-10-04.
Tidewater Internal Medicine, Llc's current location address is 2097 Henry Tecklenburg Dr, Charleston, South Carolina. You can contact this provider via phone number 8435716868 and fax number 8435716198. The mailing address for Tidewater Internal Medicine, 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, Llc |
|---|---|
| Address | 2097 Henry Tecklenburg Dr, Charleston, South Carolina |
| Phone Number | 8435716868 |
| Fax Number | 8435716198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Kinney Lee Laura |
| Credentials | M.D. |
| Telephone Number | 8435716868 |
NPI Number Detail
| NPI Number | 1770510695 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 2097 Henry Tecklenburg Dr |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294145740 |
| Phone Number | 8435716868 |
| Fax Number | 8435716198 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 19466 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique identification code assigned to Tidewater Internal Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Tidewater Internal Medicine, Llc has been issued the NPI (National Provider Identifier) 1770510695. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tidewater Internal Medicine, Llc is physically located?
The Tidewater Internal Medicine, Llc is physically situated at the following address: 2097 Henry Tecklenburg Dr, Charleston, SC, 294145740.
What is the Tidewater Internal Medicine, Llc's specialty and taxonomy code?
The Tidewater Internal Medicine, Llc's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
When was the Tidewater Internal Medicine, Llc's 1770510695 issued?
The Tidewater Internal Medicine, Llc's 1770510695 was issued on 2006-06-27.
As of what date was the information pertaining to Tidewater Internal Medicine, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tidewater Internal Medicine, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-04.