Organization
GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC
Active
Other names
Gatroenterology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS ARLENE DAVIES (ADMINISTRATOR)
(757) 464-1644
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5500
(757) 464-1644
(757) 363-1071
Mailing address
1020 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5500
(757) 464-1644
(757) 363-1071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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