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Organization
EBBTIDE COMPREHENSIVE CARE
Active
Organization
EBBTIDE COMPREHENSIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORYNNE ANN BOYER DO (OWNER/PHYSICIAN)
(267) 226-0250
Entity
Organization
Contact information
Practice address
669 MARINA DR STE A2, CHARLESTON, SC 29492-7573
(843) 491-9960
(843) 491-9955
Mailing address
669 MARINA DR STE A2, CHARLESTON, SC 29492-7573
(843) 491-9955
(843) 491-9960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
04/11/2023
Last updated
01/05/2026
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