| Tidewaterhealth360 Pllc | |
|
1081 Kempsville Rd Chesapeake VA 23320-8126 | |
| (757) 376-8460 | |
| Not Available |
| Full Name | Tidewaterhealth360 Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1081 Kempsville Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Robert Corpin Cajes (PRESIDENT) |
| Authorized Official Contact | 7573768460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewaterhealth360 Pllc 324 Sage Rd Virginia Beach VA 23456-4419 Ph: (757) 376-8460 | Tidewaterhealth360 Pllc 1081 Kempsville Rd Chesapeake VA 23320-8126 Ph: (757) 376-8460 |
| NPI Number | 1134876337 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134876337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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