Long Term Care of Tidewater PC
NPI #1033154430 in Norfolk, Virginia
Provider Information
- NPI Number
- 1033154430
- Entity Type
- Organization
- Organization Name
- Long Term Care of Tidewater PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Nov 1, 2019
Practice Location
Authorized Official
- Name
- JAYNE WALTER
- Title
- CREDENTIALING
- Phone
- (757) 917-5356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine - Nephrology — Nephrology |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Nurse Practitioner |
| Internal Medicine |
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