Organization
TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY TANNER BELL (CEO)
(757) 827-2480
Entity
Organization
Contact information
Practice address
4037 IRONBOUND RD, WILLIAMSBURG, VA 23188-2507
(757) 206-1004
(757) 645-3965
Mailing address
901 ENTERPRISE PARKWAY, SUITE 900, HAMPTON, VA 23666
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
03/22/2024
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