| Gastrointestinal And Liver Specialists Of Tidewater Pllc | |
|
1101 First Colonial Rd Ste 400 Virginia Beach VA 23454-2409 | |
| (757) 481-4817 | |
| (757) 481-7138 |
| Full Name | Gastrointestinal And Liver Specialists Of Tidewater Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1101 First Colonial Rd Ste 400, Virginia Beach, Virginia |
| Authorized Official Name and Position | Gladys Arlene Davies (ADMINISTRATOR) |
| Authorized Official Contact | 7574641644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal And Liver Specialists Of Tidewater Pllc 1101 First Colonial Rd Ste 400 Virginia Beach VA 23454-2409 Ph: (757) 481-4817 | Gastrointestinal And Liver Specialists Of Tidewater Pllc 1101 First Colonial Rd Ste 400 Virginia Beach VA 23454-2409 Ph: (757) 481-4817 |
| NPI Number | 1891338745 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891338745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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