| Tidewater Internal Medicine, Llc | |
|
2097 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5740 | |
| (843) 571-6868 | |
| (843) 571-6198 |
| Full Name | Tidewater Internal Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2097 Henry Tecklenburg Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Laura Lee Kinney (MANAGING PARTNER) |
| Authorized Official Contact | 8435716868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Internal Medicine, Llc 2097 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5740 Ph: (843) 571-6868 | Tidewater Internal Medicine, Llc 2097 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5740 Ph: (843) 571-6868 |
| NPI Number | 1770510695 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770510695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19466 (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 |