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 |
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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 |
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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 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 08/16/2022 |
Medicare PECOS PAC ID | 1658455126 |
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Medicare Enrollment ID | O20080221000429 |
Identifier | Type | State | Issuer |
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1437344306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jieming Yan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003814732 PECOS PAC ID: 6608775176 Enrollment ID: I20040103000047 |
Orthovirginia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 667 Kingsborough Square, Suite 300, Chesapeake, VA 23320 Phone: 757-422-8476 Fax: 804-435-2172 | |
Convenient Care Of Tidewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq, Suite 103, Chesapeake, VA 23320 Phone: 757-549-0222 | |
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