TIDEWATER MEDICAL SUPPLY INC NPI 1104923895

NPI Information

TIDEWATER MEDICAL SUPPLY, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Chesapeake, VA. TIDEWATER MEDICAL SUPPLY, INC NPI is 1104923895. The provider is registered as an organization entity type.

The provider's business location address is:

525 BYRON ST
SUITE A
CHESAPEAKE, VA
ZIP 23320-967
Phone: (757) 548-9999
Fax: (757) 549-7752

The provider's authorized official is Keith Anthony Davies .
The authorized official title is President and has the following contact phone number (757) 548-9999.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 3/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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