Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDEWATER PAIN MANAGEMENT PC
Active OrganizationTIDEWATER PAIN MANAGEMENT PC is a Interventional Vascular Surgery organization located in WILLIAMSBURG, Virginia. NPI 1871558270 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · WILLIAMSBURG, VA
Registration Details
- NPI Number
- 1871558270
- Provider Type
- Organization
- NPI Issued
- Apr 19, 2006 (20.348551221047 yrs)
- Last Updated
- Apr 3, 2008
- License
-
0102037017 (VA)
Practice Information
- Address
-
4125 IRONBOUND ROADSUITE 101WILLIAMSBURG, VA, 231882631Browse VA providers · Browse ZIP 23188
- Phone
- 7572582561
- Fax
- 7572585936
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
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.