COLON RECTAL SURGERY OF TIDEWATER, P.C.
Organization (NPI-2)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1790794022- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3235 ACADEMY AVE SUITE 100, PORTSMOUTH, VA, 237033200
- Phone
- (757) 484-9653
- Fax
- (757) 484-9662
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: VA #0101031444