Tidewater Kidney Specialists, Inc.
NPI #1780624627 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1780624627
- Entity Type
- Organization
- Organization Name
- Tidewater Kidney Specialists, Inc.
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 4445 CORPORATION LN STE 100
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23462-3666
- Phone
- (757) 623-0005
Authorized Official
- Name
- ELIZABETH SKIDMORE
- Title
- ADMINISTRATOR
- Phone
- (757) 623-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Internal Medicine - Nephrology — Nephrology |
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