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Organization

LEGACY INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TINA M BOTELHO MD (PHYSICIAN/OWNER)
(843) 606-9199
Entity
Organization

Contact information

Practice address
550 LONG POINT RD STE 100, MOUNT PLEASANT, SC 29464-8000
(843) 606-9199
(843) 718-2858
Mailing address
550 LONG POINT RD STE 100, MOUNT PLEASANT, SC 29464-8000
(843) 606-9199
(843) 718-2858

Taxonomy

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

Other

Enumeration date
11/10/2011
Last updated
04/15/2025
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