EAR,NOSE&THROAT OF TIDEWATER INC

SUFFOLK, VA
NPI1467533109
Entity TypeOrganization
Authorized ContactJOHN PATRICK LYLE
President
757-934-7753
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2006-10-18
Last Update Date2020-08-22
Business Address
EAR,NOSE&THROAT OF TIDEWATER INC
2790 GODWIN BLVD SUITE 205
SUFFOLK, VA 23434-8151
Phone number: 757-934-7753
Mailing Address
EAR,NOSE&THROAT OF TIDEWATER INC
1109 PINE VALLEY DR
SUFFOLK, VA 23434-6232
Phone number:
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