| Tidewater Nephrology Ltd | |
|
1800 Camelot Dr Suite 401 Virginia Beach VA 23454-2440 | |
| (757) 496-3706 | |
| (757) 496-3715 |
| Full Name | Tidewater Nephrology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Camelot Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | David Walker Best (CEO/PRESIDENT.) |
| Authorized Official Contact | 7574963706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Nephrology Ltd 1800 Camelot Dr Suite 401 Virginia Beach VA 23454-2440 Ph: (757) 496-3706 | Tidewater Nephrology Ltd 1800 Camelot Dr Suite 401 Virginia Beach VA 23454-2440 Ph: (757) 496-3706 |
| NPI Number | 1467461822 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467461822 | NPI | - | NPPES |
| 006046983 | Medicaid | VA | |
| BLUE CROSS BLUE SHIE | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101027286 (Virginia) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 0101027286 (Virginia) | Secondary |
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