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Tidewater Ear, Nose, & Throat, Inc.
Specialist in Chesapeake, Virginia
NPI 1053447839

Tidewater Ear, Nose, & Throat, Inc. is a Specialist based in Chesapeake, VA. Tidewater Ear, Nose, & Throat, Inc. practices in Chesapeake, VA. The NPI Number for Tidewater Ear, Nose, & Throat, Inc. is 1053447839 and holds a License No. 0101016485 (Virginia).

The current practice location address for Tidewater Ear, Nose, & Throat, Inc. is 4020 Raintree Rd, Chesapeake, VA and can be reached out via phone at 757-488-2080 and via fax at 757-405-3025.

Location: 4020 Raintree Rd, Chesapeake, VA, 23321-3749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053447839
Provider Name
Tidewater Ear, Nose, & Throat, Inc.
Credential
Provider Entity Type
Organization
Address
4020 Raintree Rd, Chesapeake, VA, 23321-3749
Phone Number
757-488-2080
Fax Number
757-405-3025
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006501320 05 VA
institution
Provider Business Practice Location Address Details
Address
4020 Raintree Rd
City
Chesapeake
State
Virginia
Zip
23321-3749
Phone Number
757-488-2080
Fax Number
757-405-3025
person
Provider Business Mailing Address Details
Address
4020 Raintree Rd
City
Chesapeake
State
Virginia
Zip
23321-3749
Phone Number
757-488-2080
Fax Number
757-405-3025
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101016485 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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