Tidewater Neurology

LBN: Tidewater Neurology
Tidewater Neurology is an health care organization with primary practice located at 913 B Bowman Rd , Mt Pleasant SC 29464-3235. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tidewater Neurology can be contacted via phone (843) 856-9530, or through Hughes, Thomas Sanders via phone (843) 856-9530.

Contact Information

Primary practice address
913 B Bowman Rd Mt Pleasant SC 29464-3235
Phone: (843) 856-9530
Fax: (843) 971-1345
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Thomas Sanders Doctor of Medicine (MD)
Phone: (843) 856-9530

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 19697 South Carolina

Profile Details

NPI number 1962454124
LBN Legal business name Tidewater Neurology
DBA Doing business as
Authorized official Hughes, Thomas Sanders Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Nov 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962454124 NPPES
South Carolina MEDICAID GP4157

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