Organization · Type 2 NPI

Tidewater Surgical

Specialist · Chesapeake, VA

NPI number 1821626235 Active

Practice location

1732 S Park Ct
Chesapeake, VA 23320-8934

Call (757) 995-5695 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821626235

Tidewater Surgical's National Provider Identifier is 1821626235, issued on Mar 31, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 1, 2021.