| Tidewater Integrated Medical Services, Pllc | |
|
Virginia Beach General Hospital 1060 First Colonial Rd Virginia Beach VA 23450 | |
| (757) 340-3489 | |
| (757) 340-4278 |
| Full Name | Tidewater Integrated Medical Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | Virginia Beach General Hospital, Virginia Beach, Virginia |
| Authorized Official Name and Position | Edward Thomas (DOCTOR) |
| Authorized Official Contact | 7573403489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Integrated Medical Services, Pllc Po Box 2546 Virginia Beach VA 23450-2546 Ph: (757) 340-3489 | Tidewater Integrated Medical Services, Pllc Virginia Beach General Hospital 1060 First Colonial Rd Virginia Beach VA 23450 Ph: (757) 340-3489 |
| NPI Number | 1528007010 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528007010 | NPI | - | NPPES |
| 1528007010 | Medicaid | VA |
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