Organization · Type 2 NPI
Tidewater Physicians Multispecialty Group PC
Professional Counselor · Newport News, VA
NPI number
1326428129
Active
Practice location
860 Omni Blvd Ste 401
Newport News, VA 23606-4430
Mailing address
11761 Rock Landing Dr Ste 8
Newport News, VA 23606-4235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701001988 (VA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1326428129
Tidewater Physicians Multispecialty Group PC's National Provider Identifier is 1326428129, issued on Jun 5, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newport News, VA. The record was last updated on Nov 9, 2021.