Organization
SPINE CARE OF TIDEWATER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J. WESTBY D.C. (PRESIDENT)
(757) 827-3210
Entity
Organization
Contact information
Practice address
2204 EXECUTIVE DR, SUITE A, HAMPTON, VA 23666-6602
(757) 827-3210
(757) 827-9089
Mailing address
2204 EXECUTIVE DR, SUITE A, HAMPTON, VA 23666-6602
(757) 827-3210
(757) 827-9089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000693
VA
Other
Enumeration date
01/31/2007
Last updated
12/14/2007
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