| Tidewater Health | |
|
1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 | |
| (843) 800-5686 | |
| (843) 800-5656 |
| Full Name | Tidewater Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1435 Stuart Engals Blvd Ste 101, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | David L Smith (PRESIDENT) |
| Authorized Official Contact | 8438005686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Health 1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 Ph: (843) 800-5686 | Tidewater Health 1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 Ph: (843) 800-5686 |
| NPI Number | 1649773789 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649773789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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