Tidewater Internal Medicine Ii Llc

LBN: Tidewater Internal Medicine Ii Llc
Tidewater Internal Medicine Ii Llc is an health care organization with primary practice located at 2097 Henry Tecklenburg Dr Suite 301, 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 Ii Llc can be contacted via phone (404) 943-0205, or through Holden, Alicia via phone (404) 943-0205.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Suite 301 Charleston SC 29414-5740
Fax:
Website:
Authorized official contact:
Name: Holden, Alicia ACCOUNTING

Health care specialties

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

Profile Details

NPI number 1750577391
LBN Legal business name Tidewater Internal Medicine Ii Llc
DBA Doing business as
Authorized official Holden, Alicia ACCOUNTING
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 17 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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