Tidewater Surgical Group, Pa

LBN: Tidewater Surgical Group, Pa
Tidewater Surgical Group, Pa is an health care organization with primary practice located at 2831B Tricom St , North Charleston SC 29406-9172. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Tidewater Surgical Group, Pa can be contacted via phone (843) 797-8880, or through Tyler, Lorraine Veronica via phone (843) 797-8880.

Contact Information

Primary practice address
2831B Tricom St North Charleston SC 29406-9172
Phone: (843) 797-8880
Fax: (843) 797-8884
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Lorraine Veronica
Phone: (843) 797-8880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G93021 South Carolina

Profile Details

NPI number 1598835639
LBN Legal business name Tidewater Surgical Group, Pa
DBA Doing business as
Authorized official Tyler, Lorraine Veronica
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1598835639 NPPES
South Carolina MEDICAID GP4370

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