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Organization

TIDEWATER WEIGHT LOSS AND WELLNESS CENTERS,INC.

Active
Parent organization
0101231458
Organization subpart
Yes

Provider details

NPI number
Legal business name
0101231458
Authorized official
MS. SUSAN MURRAY CHALENDER (QWNER/PRESIDENT)
(757) 480-5673
Entity
Organization

Contact information

Practice address
2468 E LITTLE CREEK RD, SUITE B, NORFOLK, VA 23518-3231
(757) 480-5673
(757) 480-2333
Mailing address
2468 E LITTLE CREEK RD, SUITE B, NORFOLK, VA 23518-3231
(757) 480-5673
(757) 480-2333

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101231458
VA
261Q00000X
Clinic/Center

Other

Enumeration date
08/26/2008
Last updated
08/26/2008
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