Organization
PLASTIC SURGERY ASSOCIATES OF TIDEWATER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CRAIG MERRELL M.D.,FACS (PRESIDENT)
(757) 673-6000
Entity
Organization
Contact information
Practice address
300 MEDICAL PKWY, SUITE 316, CHESAPEAKE, VA 23320-4985
(757) 547-0047
(757) 548-3370
Mailing address
300 MEDICAL PKWY, SUITE 316, CHESAPEAKE, VA 23320-4985
(757) 547-0047
(757) 548-3370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05286935
VA
Other
Enumeration date
10/09/2006
Last updated
09/22/2012
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