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Organization

TIDEWATER INTEGRATIVE HEALTH PC

Active
Other names
SB Hudson MD PC
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER KEVIN HUNT (PRACTICE ADMINISTRATOR)
(757) 497-0606
Entity
Organization

Contact information

Practice address
802 NORTH NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 497-0606
(757) 497-0411
Mailing address
802 NORTH NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 497-0606
(757) 497-0411

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101035294
VA

Other

Enumeration date
08/23/2010
Last updated
11/19/2013
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