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

TIDEWATER SKIN CARE AND PATHOLOGY PC

Active Organization

TIDEWATER SKIN CARE AND PATHOLOGY PC is a Dermatology organization located in VIRGINIA BEACH, Virginia. NPI 1215269097 is currently active in the NPPES registry. Verify at CMS.

Dermatology · VIRGINIA BEACH, VA

Registration Details

NPI Number
1215269097
Provider Type
Organization
NPI Issued
Feb 4, 2010 (16.540667408153 yrs)
Last Updated
Dec 20, 2010
Licenses
200301017 (NC)
0101022994 (VA)

Practice Information

Address
1157 FIRST COLONIAL RD
SUITE 300
VIRGINIA BEACH, VA, 234542432
Browse VA providers · Browse ZIP 23454
Phone
7573338001
Fax
7573338002
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
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.