Tidewater Family Medicine, P C

LBN: Tidewater Family Medicine, P C
Tidewater Family Medicine, P C is an health care organization with primary practice located at 2114A Hartford Rd , Hampton VA 23666-2409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tidewater Family Medicine, P C can be contacted via phone (757) 826-3460, or through Hyman, Lawrence C via phone (757) 826-3460.

Contact Information

Primary practice address
2114A Hartford Rd Hampton VA 23666-2409
Phone: (757) 826-3460
Fax: (757) 826-5123
Website:
Map and Directions
Authorized official contact:
Name: Hyman, Lawrence C Doctor of Medicine (MD)
Phone: (757) 826-3460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1477680858
LBN Legal business name Tidewater Family Medicine, P C
DBA Doing business as
Authorized official Hyman, Lawrence C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Feb 2nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477680858 NPPES
Virginia MEDICAID 5696615

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