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Organization
NEPHROLOGY ASSOCIATES OF TIDEWATER LTD
Active
Organization
NEPHROLOGY ASSOCIATES OF TIDEWATER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA JONES (BILLING AND CREDENTIALING MANAGER)
(757) 466-9288
Entity
Organization
Contact information
Practice address
6261 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2964
(757) 466-9288
(757) 457-3691
Mailing address
6261 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2964
(757) 466-9288
(757) 457-3691
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003945
ANTHEM
VA
01
—
CL1384
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
05/04/2026
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