Organization · Type 2 NPI
Tidewater Medical Supply, Inc
Oxygen Equipment & Supplies (DME) · Chesapeake, VA
NPI number
1104923895
Active
Practice location
525 Byron St, Suite A
Chesapeake, VA 23320-7967
Fax (757) 549-7752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 0206009115 (VA) |
Oxygen Equipment & Supplies (DME): Definition to come...
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About NPI 1104923895
Tidewater Medical Supply, Inc's National Provider Identifier is 1104923895, issued on Sep 17, 2006. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Chesapeake, VA. The record was last updated on Mar 11, 2010.