Family Physicians of Tidewater Pllc

NPI #1790830826 in Norfolk, Virginia

Provider Information

NPI Number: 1790830826
Entity Type: Organization
Organization Name: Family Physicians of Tidewater Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jan 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 110 KINGSLEY LN
Address 2: SUITE 202
City: Norfolk
State: Virginia
ZIP Code: 23505-4614
Phone: (757) 889-6520

Authorized Official

Name: CLEMENT STOKES KIRKLAND JR., M.D.
Title: PRESIDENT
Phone: (757) 889-6520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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