Organization
TIDEWATER NEPHROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WALKER BEST MD (CEO/PRESIDENT.)
(757) 496-3706
Entity
Organization
Contact information
Practice address
1800 CAMELOT DR, SUITE 401, VIRGINIA BEACH, VA 23454-2440
(757) 496-3706
(757) 496-3715
Mailing address
1800 CAMELOT DR, SUITE 401, VIRGINIA BEACH, VA 23454-2440
(757) 496-3706
(757) 496-3715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027286
VA
207RN0300X
Nephrology Physician
0101027286
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006046983
—
VA
01
—
BLUE CROSS BLUE SHIE
BCBS
VA
Enumeration date
08/05/2006
Last updated
03/09/2011
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