Botelho, Tina M

Botelho, Tina M is an individual health care provider with primary practice located at 498 Wando Park Blvd Ste 500 , Mount Pleasant SC 29464-7963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Botelho, Tina M can be contacted via phone (843) 606-9199.

Contact Information

Primary practice address
498 Wando Park Blvd Ste 500 Mount Pleasant SC 29464-7963
Phone: (843) 606-9199
Fax: (843) 718-2858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25344 South Carolina

Profile Details

NPI number 1023044245
LBN Legal business name Botelho, Tina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jan 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023044245 NPPES
South Carolina Other 571020809058 TRICARE SC
South Carolina Other A913 TRICARE SC
South Carolina Other P00202158 TRICARE SC
South Carolina Other P00802342 TRICARE SC
South Carolina Other AA8570A913 TRICARE SC
South Carolina Other 571020809012 TRICARE SC
South Carolina MEDICAID 253442 TRICARE SC

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