MEDICARE: RUTH M MCTIGHE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0101X	MOHS-Micrographic Surgery Physician	92098	SC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207N00000X	Dermatology Physician	92098	SC

General Provider Information

NPI Number	:	1851910418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH M MCTIGHE MD

Provider Business Mailing Address
First Line	:	505 BELLE HALL PKWY UNIT 202
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-8326
Country	:	US
Telephone Number	:	843-449-0453
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 BELLE HALL PKWY UNIT 202
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-8326
Country	:	US
Telephone Number	:	843-449-0453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	12/01/2025

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