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1013088186
CONVENIENT CARE OF TIDEWATER
CHESAPEAKE, VA
NPI
1013088186
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Entity Type
Organization
Authorized Contact
ANTHONY A MORRIS
President
757-549-0222
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101050282)
Enumeration Date
2006-11-12
Last Update Date
2008-01-08
Business Address
CONVENIENT CARE OF TIDEWATER
113 GAINSBOROUGH SQ SUITE 103
CHESAPEAKE, VA 23320-1713
Phone number: 757-549-0222
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Mailing Address
CONVENIENT CARE OF TIDEWATER
PO BOX 2518
CHESAPEAKE, VA 23327-2518
Phone number: 757-549-0222
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