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Organization

TIDEWATER HEART LABORATORIES

Active
Parent organization
TIDEWATER HEART INSTITUTE
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIDEWATER HEART INSTITUTE
Authorized official
MRS. BONNIE HERRING (OFFICE ADMINISTATOR)
(757) 825-4260
Entity
Organization

Contact information

Practice address
2116 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 224-4233
(757) 224-4955
Mailing address
2115 EXECUTIVE DR, SUITE 1B, HAMPTON, VA 23666
(757) 825-4260
(757) 825-4265

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
VA

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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