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 |
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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 |
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 | |
Ultimate Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1437 Sams Dr Ste 122, Chesapeake, VA 23320 Phone: 757-549-3668 | |