Cancer Specialists of Tidewater, Ltd.
NPI #1073521548 in Chesapeake, Virginia
Provider Information
- NPI Number
- 1073521548
- Entity Type
- Organization
- Organization Name
- Cancer Specialists of Tidewater, Ltd.
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Apr 1, 2010
Practice Location
- Address
- 110 WIMBLEDON SQ
- Address 2
- SUITE E
- City
- Chesapeake
- State
- Virginia
- ZIP Code
- 23320-4946
- Phone
- (757) 436-1492
Authorized Official
- Name
- MRS. CARRIE ANN PERNELL
- Title
- OFFICE MANAGER
- Phone
- (757) 436-1492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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