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Organization

TIDEWATER HYPERBARIC

Active
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Organization

TIDEWATER HYPERBARIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARA MAE MELTON (PRESIDENT)
(757) 383-3728
Entity
Organization

Contact information

Practice address
129 WEST VIRGINIA BEACH BLVD, SUITE 140 A, NORFOLK, VA 23510
(757) 452-3935
Mailing address
129 W VIRGINIA BEACH BLVD STE 140A, NORFOLK, VA 23510-2030

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—

Other

Enumeration date
08/25/2017
Last updated
08/25/2017
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