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Organization

EBBTIDE COMPREHENSIVE CARE, LLC

Active
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Organization

EBBTIDE COMPREHENSIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORYNNE BOYER MD (OWNER)
(843) 491-9955
Entity
Organization

Contact information

Practice address
1064 GARDNER RD STE 105-106, CHARLESTON, SC 29407-5768
(843) 491-9955
Mailing address
669 MARINA DR STE A2, CHARLESTON, SC 29492-7573

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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