Organization
TIDEWATER ENDOCRINE CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT FITZGERALD MATTHIAS MD (PRESIDENT)
(757) 436-0909
Entity
Organization
Contact information
Practice address
667 KINGSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-4999
(757) 436-0909
(757) 436-0168
Mailing address
PO BOX 1345, CHESAPEAKE, VA 23327-1345
(757) 436-0909
(757) 436-0168
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101229098
VA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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