Tidewater Ear, Nose, & Throat, Inc.
NPI #1053447839 in Chesapeake, Virginia
Provider Information
- NPI Number
- 1053447839
- Entity Type
- Organization
- Organization Name
- Tidewater Ear, Nose, & Throat, Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jul 9, 2009
Practice Location
- Address
- 4020 RAINTREE RD
- Address 2
- SUITE C
- City
- Chesapeake
- State
- Virginia
- ZIP Code
- 23321-3749
- Phone
- (757) 488-2080
Authorized Official
- Name
- ANGELA WRENN MURDEN
- Title
- INSURANCE COORDINATOR
- Phone
- (757) 488-2080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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