TIDEWATER SURGICAL NPI 1821626235

NPI Information

TIDEWATER SURGICAL is a specialist in Chesapeake, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIDEWATER SURGICAL NPI is 1821626235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1732 S PARK CT
CHESAPEAKE, VA
ZIP 23320-934
Phone: (757) 995-5695

The provider's authorized official is Thomas Kirk .
The authorized official title is Chief Executive Officer and has the following contact phone number (832) 804-8703.

The enumeration date for this NPI number is 3/31/2020 and was last updated on 7/1/2021.

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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