Organization
PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
Active
Other names
Physicians' Surgery Center of Tidewater
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT MONTGOMERY (AUTHORIZED OFFICIAL)
(757) 495-8070
Entity
Organization
Contact information
Practice address
828 HEALTHY WAY STE 115, VIRGINIA BEACH, VA 23462-7958
(757) 495-8070
(757) 495-8074
Mailing address
828 HEALTHY WAY, STE 115, VIRGINIA BEACH, VA 23462-7958
(757) 495-8070
(757) 495-8074
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH 708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00426243
RAILROAD MEDICARE
VA
Enumeration date
02/14/2007
Last updated
10/31/2025
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