| Tidewater Tlc Family Care Pllc | |
|
745 Battlefield Blvd N Chesapeake VA 23320-0305 | |
| (757) 436-6959 | |
| (757) 549-1933 |
| Full Name | Tidewater Tlc Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 745 Battlefield Blvd N, Chesapeake, Virginia |
| Authorized Official Name and Position | Vanessa A Blowe (PRACTICE OWNER DOCTOR) |
| Authorized Official Contact | 7574366959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Tlc Family Care Pllc 745 Battlefield Blvd N Chesapeake VA 23320-0305 Ph: (757) 436-6959 | Tidewater Tlc Family Care Pllc 745 Battlefield Blvd N Chesapeake VA 23320-0305 Ph: (757) 436-6959 |
| NPI Number | 1386632495 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386632495 | NPI | - | NPPES |
| 54190784 | Other | TRICARE | |
| 57786 | Other | OPTIMAHEALTH PPO AND HMO | |
| 393970 | Other | ANTHEM BCBS PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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