Organization
TIDEWATER ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY TANNER BELL (CEO)
(757) 827-2480
Entity
Organization
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 299-9917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030451
VA
Other
Enumeration date
03/29/2007
Last updated
03/22/2024
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