Organization
TIDEWATER HEALTH PC
Active
Other names
Tidewater Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L SMITH MD (PRESIDENT)
(843) 800-5686
Entity
Organization
Contact information
Practice address
1435 STUART ENGALS BLVD STE 101, MOUNT PLEASANT, SC 29464-7312
(843) 800-5686
(843) 800-5656
Mailing address
1435 STUART ENGALS BLVD STE 101, MOUNT PLEASANT, SC 29464-7312
(843) 800-5686
(843) 800-5656
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
05/01/2019
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