TIDEWATER PHYSICIANS MULTISPECIALTY GROUP is a durable medical equipment medical supplies in Va Beach, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TIDEWATER PHYSICIANS MULTISPECIALTY GROUP NPI is 1568236859. The provider is registered as an organization entity type.
The provider's business location address is:
4421 VIRGINIA BEACH BLVD STE 114
VA BEACH, VA
ZIP 23462-114
Phone: (757) 963-7676
Fax: (757) 937-0104
The provider's authorized official is Angela A Walker .
The authorized official title is Credentialing Manager and has the following contact phone number (757) 232-8769.
The enumeration date for this NPI number is 11/8/2023 and was last updated on 2/19/2024.