| Tidewater Internal Medicine And Hypertension Center. Plc | |
|
1100 Smokey Mountain Trl Chesapeake VA 23320-8147 | |
| (757) 351-3400 | |
| (757) 351-3400 |
| Full Name | Tidewater Internal Medicine And Hypertension Center. Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 Smokey Mountain Trl, Chesapeake, Virginia |
| Authorized Official Name and Position | Jieming Yan (PRESIDENT) |
| Authorized Official Contact | 7573513400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Internal Medicine And Hypertension Center. Plc 1100 Smokey Mountain Trl Ste 102 Chesapeake VA 23320-8147 Ph: (757) 351-3400 | Tidewater Internal Medicine And Hypertension Center. Plc 1100 Smokey Mountain Trl Chesapeake VA 23320-8147 Ph: (757) 351-3400 |
| NPI Number | 1437344306 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 1658455126 |
|---|---|
| Medicare Enrollment ID | O20080221000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437344306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jieming Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814732 PECOS PAC ID: 6608775176 Enrollment ID: I20040103000047 |
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