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

TIDEWATER REHABILITATION MEDICINE

Active Organization

TIDEWATER REHABILITATION MEDICINE is a Pain Medicine (PM&R) organization located in VIRGINIA BEACH, Virginia. NPI 1891113155 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · VIRGINIA BEACH, VA

Registration Details

NPI Number
1891113155
Provider Type
Organization
NPI Issued
Apr 3, 2014 (12.398131134022 yrs)
Last Updated
Apr 25, 2015
Licenses
0101053621 (VA)
0101053621 (VA)

Practice Information

Address
1120 FIRST COLONIAL RD
SUITE 206
VIRGINIA BEACH, VA, 234542418
Browse VA providers · Browse ZIP 23454
Phone
7574962325
Fax
7574961942
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)
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.