Organization
NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC
Active
Parent organization
NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC
Other names
Neurology Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROLOGY CONSULTANTS OF TIDEWATER, PLLC
Authorized official
WENDY C VAN FOSSEN (ADMINISTRATOR)
(757) 226-0680
Entity
Organization
Contact information
Practice address
6161 KEMPSVILLE CIR, SUITE 315, NORFOLK, VA 23502-3932
(757) 461-5400
(757) 461-3305
Mailing address
6161 KEMPSVILLE CIR, SUITE 315, NORFOLK, VA 23502-3932
(757) 461-5400
(757) 461-3305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
05/27/2009
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