Organization
TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Active
Parent organization
TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Authorized official
STACEY TANNER BELL (CEO)
(757) 827-2480
Entity
Organization
Contact information
Practice address
7007 HARBOUR VIEW BLVD STE 108, SUFFOLK, VA 23435-3657
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 299-9917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/24/2019
Last updated
04/05/2024
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