NEUROLOGY CONSULTANTS OF TIDEWATER PLLC NPI 1316982796

NPI Information

NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC is a neurology psychiatry neurology in Norfolk, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC NPI is 1316982796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6161 KEMPSVILLE CIR
SUITE 315
NORFOLK, VA
ZIP 23502-932
Phone: (757) 461-5400
Fax: (757) 461-3305

The provider's authorized official is Marcus C Rice .
The authorized official title is Chairman and has the following contact phone number (757) 226-0680.

The CLIA number assigned to this NPI record is 49D2006913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/19/2007.

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:

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