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