TIDEWATER CHIROPRACTIC GROUP P.C. NPI 1417097718

NPI Information

TIDEWATER CHIROPRACTIC GROUP P.C. is a chiropractor in Portsmouth, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TIDEWATER CHIROPRACTIC GROUP P.C. NPI is 1417097718. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tidewater Chiropractic.

The provider's business location address is:

4305 PORTSMOUTH BLVD
PORTSMOUTH, VA
ZIP 23701-539
Phone: (757) 465-7299
Fax: (757) 465-7282

The provider's authorized official is Cornelius Tucker Carwile .
The authorized official title is President Clinic Director and has the following contact phone number (757) 465-7299.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/19/2008.

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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