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EBBTIDE COMPREHENSIVE CARE, LLC
NPI 1932975711
Internal Medicine in Charleston, SC

Active since December 01, 2023
1064 GARDNER RD STE 105-106, CHARLESTON, SC 29407(843) 491-9955 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebbtide Comprehensive Care, Llc NPPES

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

EBBTIDE COMPREHENSIVE CARE, LLC (NPI 1932975711) is a healthcare organization registered as an internal medicine in Charleston, South Carolina and active in the NPI registry since December 2023. The organization lists Corynne Boyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1932975711
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEBBTIDE COMPREHENSIVE CARE, LLC
Location Address1064 GARDNER RD STE 105-106Charleston, SC 29407-5768
Mailing Address669 Marina Dr Ste A2Charleston, SC 29492-7573
Phone(843) 491-9955
Organization SubpartNo
Authorized OfficialCorynne BoyerOwner · (843) 491-9955
Enumeration DateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1932975711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1064 GARDNER RD STE 105-106, Charleston, SC 29407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. AMANDA U. GREEN DNP,FNP-C
Nurse Practitioner
1064 GARDNER RD STE 105-106
CHARLESTON, SC 29407
Charleston County (854) 429-1175
LACHELSIE NICOLE THOMAS PA
Physician Assistant
1064 GARDNER RD STE 105-106
CHARLESTON, SC 29407
Charleston County (854) 429-1175

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 Ebbtide Comprehensive Care, LLC's NPI number?

The NPI number for Ebbtide Comprehensive Care, LLC is 1932975711. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is Ebbtide Comprehensive Care, LLC located?

Ebbtide Comprehensive Care, LLC is located at 1064 Gardner Rd Ste 105-106, Charleston, SC 29407. The listed phone number is (843) 491-9955.

What is Ebbtide Comprehensive Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ebbtide Comprehensive Care, LLC was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.