GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC NPI 1427438373

NPI Information

GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC is a medical physician assistant in Virginia Beach, VA. GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC NPI is 1427438373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gatroenterology Consultants.

The provider's business location address is:

1020 INDEPENDENCE BLVD
SUITE 110
VIRGINIA BEACH, VA
ZIP 23455-500
Phone: (757) 464-1644
Fax: (757) 363-1071

The provider's authorized official is Gladys Arlene Davies .
The authorized official title is Administrator and has the following contact phone number (757) 464-1644.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.

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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