| Ebbtide Comprehensive Care | |
|
669 Marina Dr Ste A2 Charleston SC 29492-7573 | |
| (843) 491-9960 | |
| (843) 491-9955 |
| Full Name | Ebbtide Comprehensive Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 669 Marina Dr Ste A2, Charleston, South Carolina |
| Authorized Official Name and Position | Corynne Ann Boyer (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2672260250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebbtide Comprehensive Care 669 Marina Dr Ste A2 Charleston SC 29492-7573 Ph: (843) 491-9955 | Ebbtide Comprehensive Care 669 Marina Dr Ste A2 Charleston SC 29492-7573 Ph: (843) 491-9960 |
| NPI Number | 1609561935 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/05/2026 |
| Medicare PECOS PAC ID | 5799201091 |
|---|---|
| Medicare Enrollment ID | O20250430000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609561935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Secondary |
| Provider Name | Corynne a Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912138983 PECOS PAC ID: 1153477070 Enrollment ID: I20121101000445 |
| Provider Name | Brooke Plewinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902068984 PECOS PAC ID: 1254408081 Enrollment ID: I20160301001723 |
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