Tidewater Internal Medicine, Llc

LBN: Tidewater Internal Medicine, Llc
Tidewater Internal Medicine, Llc is an health care organization with primary practice located at 2097 Henry Tecklenburg Dr Suite 220, Charleston SC 29414-5740. 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 Internal Medicine, Llc can be contacted via phone (843) 571-6868, or through Kinney, Laura Lee via phone (843) 571-6868.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5740
Phone: (843) 571-6868
Fax: (843) 571-6198
Website:
Map and Directions
Authorized official contact:
Name: Kinney, Laura Lee Doctor of Medicine (MD)
Phone: (843) 571-6868

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 19466 South Carolina

Profile Details

NPI number 1770510695
LBN Legal business name Tidewater Internal Medicine, Llc
DBA Doing business as
Authorized official Kinney, Laura Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 4th, 2007 - about 19 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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