Tidewater Health Pc | |
1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 | |
(843) 800-5686 | |
(843) 800-5656 |
Full Name | Tidewater Health Pc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1435 Stuart Engals Blvd Ste 101, Mount Pleasant, South Carolina |
Authorized Official Name and Position | David L Smith (PRESIDENT) |
Authorized Official Contact | 8438005686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tidewater Health Pc 1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 Ph: (843) 800-5686 | Tidewater Health Pc 1435 Stuart Engals Blvd Ste 101 Mount Pleasant SC 29464-7312 Ph: (843) 800-5686 |
NPI Number | 1649773789 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 05/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649773789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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