Tidewater Physicians Multispecialty Group

LBN: Tidewater Physicians Multispecialty Group
Tidewater Physicians Multispecialty Group is an health care organization with primary practice located at 5424 Discovery Park Boulevard Building A, Suite 101 Building A, Suite 101, Williamsburg VA 23322. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Tidewater Physicians Multispecialty Group can be contacted via phone (757) 707-3505, or through Walker, Angela A via phone (757) 504-0924.

Contact Information

Primary practice address
5424 Discovery Park Boulevard Building A, Suite 101 Building A, Suite 101 Williamsburg VA 23322
Phone: (757) 707-3505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Angela A
Phone: (757) 504-0924

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1316790512
LBN Legal business name Tidewater Physicians Multispecialty Group
DBA Doing business as
Authorized official Walker, Angela A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2024
Last updated Apr 8th, 2024 - about 8 months 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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