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

Tidewater Internal Medicine II LLC

Organization Primary Care Clinic/Center · NPI 1750577391

Tidewater Internal Medicine II LLC is a Primary Care Clinic/Center in Charleston, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
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

2097 Henry Tecklenburg Dr Ste 301
Charleston, SC 29414-5740
Phone: (404) 943-0205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1750577391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Holden — Lead · (404) 943-0205
NPI enumeratedSeptember 18, 2007
Last updated in NPPESSeptember 18, 2007
Mailing addressPo Box 468329, Atlanta, GA 31146-8329

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