1104923895 TIDEWATER MEDICAL SUPPLY, INC
Oxygen Equipment & Supplies (DME)
Active
Basic Information
- Organization Name
- TIDEWATER MEDICAL SUPPLY, INC
- Enumeration Date
- September 17, 2006
- Last Update
- March 11, 2010
- Authorized Official
- MR. KEITH ANTHONY DAVIES
PRESIDENT
Phone: (757) 548-9999
Practice Location
- Address
- 525 BYRON ST
SUITE A
CHESAPEAKE, VA 233207967 - Phone
- (757) 548-9999
- Fax
- (757) 549-7752
Mailing Address
- Address
- 525 BYRON ST
SUITE A
CHESAPEAKE, VA 233207967 - Phone
- (757) 548-9999
- Fax
- (757) 549-7752
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 332BX2000X | Durable Medical Equipment & Medical Supplies | 0206009115 | VA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1258980001 | 01 | VA | MEDICARE PARTICIPATING PROVIDER ID # 1258980001 STATE VA PTAN # |
| 009117920 | 05 | VA | N/A |
Frequently Asked Questions
What is TIDEWATER MEDICAL SUPPLY, INC's NPI number?
TIDEWATER MEDICAL SUPPLY, INC's NPI number is 1104923895.
Which doctor has NPI number 1104923895?
The doctor with NPI number 1104923895 is TIDEWATER MEDICAL SUPPLY, INC.
What is TIDEWATER MEDICAL SUPPLY, INC's practice address?
TIDEWATER MEDICAL SUPPLY, INC's practice address is 525 BYRON ST, SUITE A, CHESAPEAKE, VA, 233207967.
Which doctor practices at 525 BYRON ST, SUITE A, CHESAPEAKE, VA, 233207967?
TIDEWATER MEDICAL SUPPLY, INC practices at 525 BYRON ST, SUITE A, CHESAPEAKE, VA, 233207967.
What is TIDEWATER MEDICAL SUPPLY, INC's phone number?
TIDEWATER MEDICAL SUPPLY, INC's phone number is (757) 548-9999.
Who is (757) 548-9999?
(757) 548-9999 is the phone number for TIDEWATER MEDICAL SUPPLY, INC.
What is TIDEWATER MEDICAL SUPPLY, INC's specialty?
TIDEWATER MEDICAL SUPPLY, INC's specialty is Oxygen Equipment & Supplies (DME).
What type of doctor is TIDEWATER MEDICAL SUPPLY, INC?
TIDEWATER MEDICAL SUPPLY, INC is a Oxygen Equipment & Supplies (DME).
Is TIDEWATER MEDICAL SUPPLY, INC a Oxygen Equipment & Supplies?
Yes, TIDEWATER MEDICAL SUPPLY, INC is a Oxygen Equipment & Supplies.
Is TIDEWATER MEDICAL SUPPLY, INC still practicing?
Yes, TIDEWATER MEDICAL SUPPLY, INC is currently practicing.
Is TIDEWATER MEDICAL SUPPLY, INC accepting new patients?
TIDEWATER MEDICAL SUPPLY, INC may be accepting new patients. Please call their office at (757) 548-9999 to inquire about availability.
Is NPI 1104923895 still active?
Yes, NPI 1104923895 is currently active.
Where does TIDEWATER MEDICAL SUPPLY, INC practice?
TIDEWATER MEDICAL SUPPLY, INC practices in CHESAPEAKE, VA.