Organization
NEUROLOGY CONSULANTS OF TIDEWATER PLLC
Active
Other names
Virginia Beach Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA J GLOVER (CREDENTIALING)
(757) 481-3808
Entity
Organization
Contact information
Practice address
968 FIRST COLONIAL RD, SUITE 103, VIRGINIA BEACH, VA 23454-3171
(757) 481-3808
Mailing address
968 FIRST COLONIAL RD, SUITE 103, VIRGINIA BEACH, VA 23454-3171
(757) 481-3808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101052447
VA
Other
Enumeration date
11/21/2006
Last updated
05/27/2009
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