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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIDEWATER MEDICAL CARE PC

Active Organization

TIDEWATER MEDICAL CARE PC is a Family Medicine organization located in VIRGINIA BEACH, Virginia. NPI 1053558981 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VIRGINIA BEACH, VA

Registration Details

NPI Number
1053558981
Provider Type
Organization
NPI Issued
Jan 14, 2009 (17.581238766376 yrs)
Last Updated
Feb 3, 2010
License
0101058505 (VA)

Practice Information

Address
4608 THOROUGHGOOD DRIVE
VIRGINIA BEACH, VA, 23455
Browse VA providers · Browse ZIP 23455
Phone
7579659465
Fax
7579659491
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.