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

Legacy Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1528345162

Legacy Internal Medicine LLC is an Internal Medicine Physician in Mount Pleasant, South Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 Long Point Rd Ste 100
Mount Pleasant, SC 29464-8000
Phone: (843) 606-9199
Fax: (843) 718-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1528345162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Botelho — Physician/Owner · (843) 606-9199
NPI enumeratedNovember 10, 2011
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address550 Long Point Rd Ste 100, Mount Pleasant, SC 29464-8000

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