TIDEWATER MEDICAL CARE PC

VIRGINIA BEACH, VA
NPI1053558981
Doing Business AsTIDEWATER MEDICAL CARE PC
Entity TypeOrganization
Authorized ContactMIGDONIA MONTEJO
Owner/President
757-965-9465
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101058505)
Enumeration Date2009-01-14
Last Update Date2010-02-03
Business Address
TIDEWATER MEDICAL CARE PC
4608 THOROUGHGOOD DRIVE
VIRGINIA BEACH, VA 23455
Phone number: 757-965-9465
Mailing Address
TIDEWATER MEDICAL CARE PC
4608 THOROUGHGOOD DRIVE
VIRGINIA BEACH, VA 23455
Phone number: 757-965-9465