Tidewater Surgical Group, PA
Tidewater Surgical Group, PA is a Surgery Physician in North 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?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2831B Tricom StNorth Charleston, SC 29406-9172
Phone: (843) 797-8880
Fax: (843) 797-8884
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence G93021 (SC) |
|---|
Record details
| NPI number | 1598835639 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lorraine Tyler — Practice Administraot · (843) 797-8880 |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2831b Tricom St, North Charleston, SC 29406-9172 |
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