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

Tidewater Internal Medicine, LLC

Organization Primary Care Clinic/Center · NPI 1770510695

Tidewater Internal Medicine, LLC is a Primary Care Clinic/Center in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
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 220
Charleston, SC 29414-5740
Phone: (843) 571-6868
Fax: (843) 571-6198
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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 · Licence 19466 (SC)

Record details

NPI number1770510695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Kinney — Managing Partner · (843) 571-6868
NPI enumeratedJune 27, 2006
Last updated in NPPESOctober 4, 2007
Mailing address2097 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5740

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