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Tidewater Pain Management Pc
Interventional Pain Medicine Physician in Williamsburg, Virginia
NPI 1871558270

Tidewater Pain Management Pc is a Interventional Pain Medicine Physician based in Williamsburg, VA and is specialized in Interventional Pain Medicine. Tidewater Pain Management Pc practices in Williamsburg, VA. The NPI Number for Tidewater Pain Management Pc is 1871558270 and holds a License No. 0102037017 (Virginia).

The current practice location address for Tidewater Pain Management Pc is 4125 Ironbound Road, Williamsburg, VA and can be reached out via phone at 757-258-2561 and via fax at 757-258-5936.

Location: 4125 Ironbound Road, Williamsburg, VA, 23188-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871558270
Provider Name
Tidewater Pain Management Pc
Credential
Provider Entity Type
Organization
Address
4125 Ironbound Road, Williamsburg, VA, 23188-2631
Phone Number
757-258-2561
Fax Number
757-258-5936
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322590 01 VA ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
4125 Ironbound Road
City
Williamsburg
State
Virginia
Zip
23188-2631
Phone Number
757-258-2561
Fax Number
757-258-5936
person
Provider Business Mailing Address Details
Address
4125 Ironbound Road
City
Williamsburg
State
Virginia
Zip
23188-2631
Phone Number
757-258-2561
Fax Number
757-258-5936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
0102037017 (Virginia)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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