Organization
NEPHROLOGY ASSOCIATES OF TIDEWATER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA JONES (BILLING AND CREDENTIALING MANAGER)
(757) 466-9288
Entity
Organization
Contact information
Practice address
6261 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2964
(757) 466-9288
(757) 457-3691
Mailing address
6261 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2964
(757) 466-9288
(757) 457-3691
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003945
ANTHEM
VA
01
—
CL1384
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
05/04/2026
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