Organization
TIDEWATER DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HURLEY (PRACTICE ADMINISTRATOR)
(843) 200-7721
Entity
Organization
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 155, CHARLESTON, SC 29414-5749
(843) 990-5866
(843) 868-8041
Mailing address
2834 AQUADUCT ST, CHARLESTON, SC 29414-7410
(843) 200-7721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up