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NPI Profile for TIDEWATER NEUROLOGISTS INC PC in PORTSMOUTH, VA.
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1689623258 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/09/2006 | |
| Last updated | 10/30/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIDEWATER NEUROLOGISTS INC, PC