Organization
TIDEWATER INTEGRATIVE HEALTH PC
Active
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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