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:
Authorized official contact:
Name: Hughes, Thomas Sanders Doctor of Medicine (MD)
Phone: (843) 856-9530
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962454124 | NPPES |
| South Carolina | MEDICAID | GP4157 |
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