| 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 | |
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: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |