Organization
TIDEWATER FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRANNON HOLT M.D. (OWNER)
(757) 460-0243
Entity
Organization
Contact information
Practice address
4660 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5436
(757) 460-0243
(757) 460-1011
Mailing address
4660 HAYGOOD RD, VIRGINIA BEACH, VA 23455-5436
(757) 460-0243
(757) 460-1011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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