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TIDEWATER DOCTORS LLC NPI 1932870318


NPI Information

NPI: 1932870318
Provider Name: TIDEWATER DOCTORS LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC
ZIP 29414
Phone: (843) 766-1936
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TIDEWATER DOCTORS LLC is a family medicine in Charleston, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIDEWATER DOCTORS LLC NPI is 1932870318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC
ZIP 29414-702
Phone: (843) 766-1936
Fax: (843) 766-1206

The provider's authorized official is Andrea Hurley .
The authorized official title is Practice Administrator and has the following contact phone number (843) 200-7721.

The enumeration date for this NPI number is 9/24/2021 and was last updated on 9/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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