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TIDEWATER INTERNAL MEDICINE II LLC
NPI 1750577391
Clinic/Center - Primary Care in Charleston, SC

Active since September 18, 2007
2097 HENRY TECKLENBURG DR, SUITE 301, CHARLESTON, SC 29414(404) 943-0205 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidewater Internal Medicine Ii Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER INTERNAL MEDICINE II LLC (NPI 1750577391) is a healthcare organization registered as a primary care in Charleston, South Carolina and active in the NPI registry since September 2007. The organization lists Alicia Holden, Lead, as its authorized official.

NPPES Registry Identity

NPI1750577391
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTIDEWATER INTERNAL MEDICINE II LLC
Location Address2097 HENRY TECKLENBURG DR, SUITE 301Charleston, SC 29414-5740
Mailing AddressPo Box 468329Atlanta, GA 31146-8329
Phone(404) 943-0205
Organization SubpartNo
Authorized OfficialAlicia HoldenLead · (404) 943-0205
Enumeration DateSeptember 18, 2007
✔ NPI 1750577391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2097 HENRY TECKLENBURG DR, Charleston, SC 29414
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
2097 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Charleston County (843) 572-7727
DR. ELSA C CAIRE MD
Obstetrics & Gynecology
2097 HENRY TECKLENBURG DR, SUITE 312W
CHARLESTON, SC 29414
Charleston County (843) 769-5620
CHARLESTON PHYSICIANS FOR WOMEN, PLLC
Obstetrics & Gynecology
2097 HENRY TECKLENBURG DR, SUITE 312 W
CHARLESTON, SC 29414
Charleston County (843) 769-5620
MARK J SEGAL MD LLC
Specialist
2097 HENRY TECKLENBURG DR, SUITE 212W
CHARLESTON, SC 29414
Charleston County (843) 284-8532
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Pain Medicine (Pain Medicine)
2097 HENRY TECKLENBURG DR, SUITE 322 W
CHARLESTON, SC 29414
Charleston County (843) 606-7246
DR. ERIN VICTORIA SPARKS M.D.
Psychiatry & Neurology (Neurology)
2097 HENRY TECKLENBURG DR, SUITE 322W
CHARLESTON, SC 29414
Charleston County (843) 402-5035
SEUNG-JUN O, PC
Clinic/Center (Medical Specialty)
2097 HENRY TECKLENBURG DR, SUITE 212 WEST
CHARLESTON, SC 29414
Charleston County (843) 571-4742
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Hospice and Palliative Medicine)
2097 HENRY TECKLENBURG DR, SUITE 201W
CHARLESTON, SC 29414
Charleston County (843) 402-1211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Internal Medicine II LLC's NPI number?

The NPI number for Tidewater Internal Medicine II LLC is 1750577391. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Tidewater Internal Medicine II LLC located?

Tidewater Internal Medicine II LLC is located at 2097 Henry Tecklenburg Dr Suite 301, Charleston, SC 29414. The listed phone number is (404) 943-0205.

What is Tidewater Internal Medicine II LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tidewater Internal Medicine II LLC was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.