Organization
TIDEWATER WOUND CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BYARS II MD (MANAGING DIRECTOR)
(757) 438-9542
Entity
Organization
Contact information
Practice address
7006 NEAL CT, SUFFOLK, VA 23434-7189
(757) 438-9542
Mailing address
PO BOX 157, SUFFOLK, VA 23439-0157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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