| Tidewater Family Medicine, P C | |
|
2114a Hartford Rd Hampton VA 23666-2409 | |
| (757) 826-3460 | |
| (757) 826-5123 |
| Full Name | Tidewater Family Medicine, P C |
|---|---|
| Speciality | Family Medicine |
| Location | 2114a Hartford Rd, Hampton, Virginia |
| Authorized Official Name and Position | Lawrence C Hyman (PRESIDENT) |
| Authorized Official Contact | 7578263460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Family Medicine, P C 2114a Hartford Rd Hampton VA 23666-2409 Ph: (757) 826-3460 | Tidewater Family Medicine, P C 2114a Hartford Rd Hampton VA 23666-2409 Ph: (757) 826-3460 |
| NPI Number | 1477680858 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477680858 | NPI | - | NPPES |
| 5696615 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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