Tidewater Physicians Multispecialty Group PC

NPI #1568236859 in Va Beach, Virginia

Provider Information

NPI Number
1568236859
Entity Type
Organization
Organization Name
Tidewater Physicians Multispecialty Group PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 8, 2023
Last Updated
May 7, 2025

Practice Location

Address
4421 VIRGINIA BEACH BLVD STE 114
ZIP Code
23462-3114
Phone
(757) 963-7676

Authorized Official

Name
ANGELA A WALKER
Title
CREDENTIALING MANAGER
Phone
(757) 232-8769

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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