NPI: 1639599723
Provider Name: TIDEWATER ENDOCRINOLOGY LLC
Doing Business As: ENDOCRINOLOGY AND DIABETES CENTER
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
Address:
3205 CHURCHLAND BLVD
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 484-7822
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TIDEWATER ENDOCRINOLOGY LLC is an endocrinology and diabetes and metabolism internal medicine in Chesapeake, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. TIDEWATER ENDOCRINOLOGY LLC NPI is 1639599723. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Endocrinology And Diabetes Center.
The provider's business location address is:
3205 CHURCHLAND BLVD
CHESAPEAKE, VA
ZIP 23321-205
Phone: (757) 484-7822
Fax: (757) 484-7362
The provider's authorized official is James Calvin Larocque .
The authorized official title is Owner and has the following contact phone number (757) 484-7822.
The enumeration date for this NPI number is 4/16/2014 and was last updated on 6/20/2014.