Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebbtide Comprehensive Care

Organization Internal Medicine Physician · NPI 1609561935

Ebbtide Comprehensive Care is an Internal Medicine Physician in Charleston, South Carolina. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

669 Marina Dr Ste A2
Charleston, SC 29492-7573
Phone: (843) 491-9960
Fax: (843) 491-9955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1064 Gardner Rd Ste 105-106, Charleston, SC 29407-5768 — (843) 491-9960
  • 110b Springhall Dr, Goose Creek, SC 29445-5335 — (843) 491-9960

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1609561935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corynne Boyer — Owner/Physician · (267) 226-0250
NPI enumeratedApril 11, 2023
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address669 Marina Dr Ste A2, Charleston, SC 29492-7573

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