Organization · Type 2 NPI
Western Tidewater Free Clinic Inc
General Practice Physician · Suffolk, VA
NPI number
1295219210
Active
Practice location
2019 Meade Pkwy
Suffolk, VA 23434-4259
Fax (757) 923-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1295219210
Western Tidewater Free Clinic Inc's National Provider Identifier is 1295219210, issued on Sep 17, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Suffolk, VA. The record was last updated on Sep 17, 2018.