Organization
TIDEWATER TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELOVE GEORGE (OWNER)
(757) 268-5347
Entity
Organization
Contact information
Practice address
35 KILVERSTONE WAY, HAMPTON, VA 23669-4816
(757) 268-5347
Mailing address
35 KILVERSTONE WAY, HAMPTON, VA 23669-4816
(757) 268-5347
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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