Tidewater Health

LBN: Tidewater Health Pc
Tidewater Health is an health care organization with primary practice located at 1435 Stuart Engals Blvd Ste 101 , Mount Pleasant SC 29464-7312. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Tidewater Health Pc can be contacted via phone (843) 800-5686, or through Smith, David L via phone (843) 800-5686.

Contact Information

Primary practice address
1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312
Phone: (843) 800-5686
Fax: (843) 800-5656
Website:
Map and Directions
Authorized official contact:
Name: Smith, David L Doctor of Medicine (MD)
Phone: (843) 800-5686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1649773789
LBN Legal business name Tidewater Health Pc
DBA Doing business as Tidewater Health
Authorized official Smith, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2018
Last updated May 1st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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