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1477303790
WATERSIDE PSYCHIATRY LLC
SUFFOLK, VA
NPI
1477303790
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Entity Type
Organization
Authorized Contact
CHIKA UMEJEI OGBOLU
Owner
757-737-3134
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-03-27
Last Update Date
2024-04-30
Business Address
WATERSIDE PSYCHIATRY LLC
425 W WASHINGTON ST STE 4
SUFFOLK, VA 23434-5320
Phone number: 757-209-4607
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Mailing Address
WATERSIDE PSYCHIATRY LLC
721 REDLEAFE CIR
CHESAPEAKE, VA 23320-3226
Phone number: 757-209-4607
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