Organization
TIDEWATER FAMILY HEALTH CENTERS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA SCHNEIDER M.D. (PHYSICIAN/OWNER)
(757) 827-0767
Entity
Organization
Contact information
Practice address
2019 CUNNINGHAM DR, SUITE 202, HAMPTON, VA 23666-3323
(757) 827-0767
(757) 838-4918
Mailing address
2019 CUNNINGHAM DR, SUITE 202, HAMPTON, VA 23666-3323
(757) 827-0767
(757) 838-4918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035848
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088742
BCBS
VA
01
—
3036076
CIGNA
VA
01
—
670405
OPTIMA
VA
01
—
859682
MAMSI
VA
01
—
CA9887
RAILROAD
VA
Enumeration date
10/19/2006
Last updated
04/20/2008
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