Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDEWATER FOOT CENTER LLC
Active OrganizationTIDEWATER FOOT CENTER LLC is a Foot Surgery Podiatrist organization located in NEWPORT NEWS, Virginia. NPI 1891137048 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · NEWPORT NEWS, VA
Registration Details
- NPI Number
- 1891137048
- Provider Type
- Organization
- NPI Issued
- Jul 29, 2013 (13.086855832832 yrs)
- Last Updated
- Dec 9, 2013
- License
-
0103301081 (VA)
Practice Information
- Address
-
126 MONARCH DRNEWPORT NEWS, VA, 236026884Browse VA providers · Browse ZIP 23602
- Phone
- 7575971520
- Fax
- 7575977099
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
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.