Organization
TIDEWATER NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SANDERS HUGHES MD (OWNER)
(843) 856-9530
Entity
Organization
Contact information
Practice address
913 B BOWMAN RD, MT PLEASANT, SC 29464-3235
(843) 856-9530
(843) 971-1345
Mailing address
913 B BOWMAN RD, MT PLEASANT, SC 29464-3235
(843) 856-9530
(843) 971-1345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4157
—
SC
Enumeration date
05/16/2006
Last updated
11/30/2007
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