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Tidewater Chiropractic Group P.c.
Chiropractor in Portsmouth, Virginia
NPI 1417097718

Tidewater Chiropractic Group P.c. is a Chiropractor based in Portsmouth, VA. Tidewater Chiropractic Group P.c. practices in Portsmouth, VA. The NPI Number for Tidewater Chiropractic Group P.c. is 1417097718 and holds a License No. 0104001982 (Virginia).

The current practice location address for Tidewater Chiropractic Group P.c. is 4305 Portsmouth Blvd, Portsmouth, VA and can be reached out via phone at 757-465-7299 and via fax at 757-465-7282.

Location: 4305 Portsmouth Blvd, Portsmouth, VA, 23701-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417097718
Provider Name
Tidewater Chiropractic Group P.c.
Credential
Provider Entity Type
Organization
Address
4305 Portsmouth Blvd, Portsmouth, VA, 23701-2539
Phone Number
757-465-7299
Fax Number
757-465-7282
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4305 Portsmouth Blvd
City
Portsmouth
State
Virginia
Zip
23701-2539
Phone Number
757-465-7299
Fax Number
757-465-7282
person
Provider Business Mailing Address Details
Address
4305 Portsmouth Blvd
City
Portsmouth
State
Virginia
Zip
23701-2539
Phone Number
757-465-7299
Fax Number
757-465-7282
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104001982 (Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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