TIDEWATER MEDICAL CLINIC PC

CHESAPEAKE, VA
NPI1467579482
Entity TypeOrganization
Authorized ContactLUIS G. CARPIO
President
757-549-9671
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101055402)
Enumeration Date2007-03-23
Last Update Date2020-08-22
Business Address
TIDEWATER MEDICAL CLINIC PC
111 COASTAL WAY
CHESAPEAKE, VA 23320-4603
Phone number: 757-549-9671
Mailing Address
TIDEWATER MEDICAL CLINIC PC
111 COASTAL WAY
CHESAPEAKE, VA 23320-4603
Phone number: 757-549-9671
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