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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