Organization
TIDEWATER CHIROPRACTIC GROUP P.C.
Active
Other names
Tidewater Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS TUCKER CARWILE III D.C. (PRESIDENT CLINIC DIRECTOR)
(757) 465-7299
Entity
Organization
Contact information
Practice address
4305 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2539
(757) 465-7299
(757) 465-7282
Mailing address
4305 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2539
(757) 465-7299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001982
VA
Other
Enumeration date
02/07/2007
Last updated
02/19/2008
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