# TIDEWATER ENDOCRINE CONSULTANTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811028152
- **Authorized official:** DR. DWIGHT FITZGERALD MATTHIAS MD (PRESIDENT)
- **Authorized official phone:** (757) 436-0909

## Contact information

- **Practice address:** 667 KINGSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-4999
- **Practice address phone:** (757) 436-0909
- **Practice address fax:** (757) 436-0168
- **Mailing address:** PO BOX 1345, CHESAPEAKE, VA 23327-1345
- **Mailing address phone:** (757) 436-0909
- **Mailing address fax:** (757) 436-0168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101229098 | VA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020