Tidewater Ped. Consultants, PC
NPI #1841298759 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1841298759
- Entity Type
- Organization
- Organization Name
- Tidewater Ped. Consultants, PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6477 COLLEGE PARK SQ
- Address 2
- STE 118
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23464-3611
- Phone
- (757) 420-6218
Authorized Official
- Name
- MRS. ROSETTA S CHERRY, LPN
- Title
- PRACTICE MANAGER
- Phone
- (757) 420-0487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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