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Tidewater Gastroenterology, Pllc
Specialist in Virginia Beach, Virginia
NPI 1396869517

Tidewater Gastroenterology, Pllc is a Specialist based in Chesapeake, VA. Tidewater Gastroenterology, Pllc practices in Virginia Beach, VA. The NPI Number for Tidewater Gastroenterology, Pllc is 1396869517 and holds a License No. (Virginia).

The current practice location address for Tidewater Gastroenterology, Pllc is 1101 First Colonial Rd, Virginia Beach, VA and can be reached out via phone at 757-481-4817 and via fax at 757-963-5585.

Location: 1101 First Colonial Rd, Virginia Beach, VA, 23320-5164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396869517
Provider Name
Tidewater Gastroenterology, Pllc
Credential
Provider Entity Type
Organization
Address
1101 First Colonial Rd, Virginia Beach, VA, 23320-5164
Phone Number
757-481-4817
Fax Number
757-963-5585
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 First Colonial Rd
City
Virginia Beach
State
Virginia
Zip
23454-2409
Phone Number
757-481-4817
Fax Number
757-963-5585
person
Provider Business Mailing Address Details
Address
1101 First Colonial Rd
City
Virginia Beach
State
Virginia
Zip
23454-2409
Phone Number
757-481-4817
Fax Number
757-963-5585
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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