TIDEWATER INTERNAL MEDICINE, LLC
Ambulatory Health at Henry Tecklenburg Dr, Charleston, SC

License number
South Carolina 19466
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. LAURA LEE KINNEY M.D.
Title: MANAGING PARTNER
Phone: (843) 571-6868
Address
Address
2097 Henry Tecklenburg Dr SUITE 220, Charleston, SC 29414
National Provider ID: 1770510695
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIDEWATER INTERNAL MEDICINE, LLC at bizstanding.com

TIDEWATER INTERNAL MEDICINE, LLC

2097 Henry Tecklenburg Dr, Charleston, SC 29414

Registration:
Nov 26, 2003
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Laura L Kinney

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