Organization
TIDEWATER HYPERBARIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA MAE MELTON (PRESIDENT)
(757) 383-3728
Entity
Organization
Contact information
Practice address
129 WEST VIRGINIA BEACH BLVD, SUITE 140 A, NORFOLK, VA 23510
(757) 452-3935
Mailing address
129 W VIRGINIA BEACH BLVD STE 140A, NORFOLK, VA 23510-2030
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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