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TIDEWATER INTEGRATIVE HEALTH PC NPI 1710293212


NPI Information

NPI: 1710293212
Provider Name: TIDEWATER INTEGRATIVE HEALTH PC

Former Legal Business Name: SB HUDSON MD PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
802 NORTH NEWTOWN RD
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 497-0606
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TIDEWATER INTEGRATIVE HEALTH PC is an internal medicine in Virginia Beach, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TIDEWATER INTEGRATIVE HEALTH PC NPI is 1710293212. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sb Hudson Md Pc.

The provider's business location address is:

802 NORTH NEWTOWN RD
VIRGINIA BEACH, VA
ZIP 23462-116
Phone: (757) 497-0606
Fax: (757) 497-0411

The provider's authorized official is Walter Kevin Hunt .
The authorized official title is Practice Administrator and has the following contact phone number (757) 497-0606.

The enumeration date for this NPI number is 8/23/2010 and was last updated on 11/19/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0101035294VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B03962MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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