Organization
TIDEWATER PED. CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSETTA S CHERRY LPN (PRACTICE MANAGER)
(757) 420-0487
Entity
Organization
Contact information
Practice address
6477 COLLEGE PARK SQ, STE 118, VIRGINIA BEACH, VA 23464-3611
(757) 420-6218
(757) 420-0487
Mailing address
6477 COLLEGE PARK SQ, STE 118, VIRGINIA BEACH, VA 23464-3611
(757) 420-6218
(757) 420-0487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
002500-8011
VA
Other
Enumeration date
07/13/2005
Last updated
08/22/2020
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