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Organization
TIDEWATER CHIROPRACTIC GROUP P.C.
Active
Organization
TIDEWATER CHIROPRACTIC GROUP P.C.
Active
Other names
Tidewater Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS TUCKER CARWILE III D.C. (PRESIDENT CLINIC DIRECTOR)
(757) 465-7299
Entity
Organization
Contact information
Practice address
4305 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2539
(757) 465-7299
(757) 465-7282
Mailing address
4305 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2539
(757) 465-7299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001982
VA
Other
Enumeration date
02/07/2007
Last updated
02/19/2008
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