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

Tidewater Doctors LLC

Organization Family Medicine Physician · NPI 1992474654

Tidewater Doctors LLC is a Family Medicine Physician in Charleston, South Carolina. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

2270 Ashley Crossing Dr Ste 150
Charleston, SC 29414-5702
Phone: (843) 766-1936
Fax: (843) 766-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414-5749 — (843) 990-5866

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1992474654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Hurley — Practice Administrator · (843) 200-7721
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address2834 Aquaduct St, Charleston, SC 29414-7410

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