Tidewater Internal Medicine II LLC
NPI 1750577391 · Primary Care Clinic/Center · Charleston, SC
Tidewater Internal Medicine II LLC is a Primary Care Clinic/Center organization in Charleston, SC (NPI 1750577391).
Provider details
- NPI number
- 1750577391
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Holden, Lead(404) 943-0205
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2007-09-18
Frequently asked questions
- What is Tidewater Internal Medicine II LLC's NPI number?
- Tidewater Internal Medicine II LLC's National Provider Identifier (NPI) is 1750577391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Internal Medicine II LLC?
- Tidewater Internal Medicine II LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidewater Internal Medicine II LLC located?
- Tidewater Internal Medicine II LLC's practice location on file with NPPES is 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740.
- What is Tidewater Internal Medicine II LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Internal Medicine II LLC is (404) 943-0205.
- Who is the authorized official for Tidewater Internal Medicine II LLC?
- The authorized official listed on Tidewater Internal Medicine II LLC's NPPES record is Alicia Holden, Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Internal Medicine II LLC's NPI active?
- Yes — Tidewater Internal Medicine II LLC's NPI (1750577391) is active in the NPPES registry as of the last update on 2007-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.