TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC; NPI #1023972551

Contact Information

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

5424 DISCOVERY PARK BOULEVARD BUILDING B STE 203
WILLIAMSBURG, VA 23188

Phone: 757-345-6223
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

NPI #	`1023972551`
LBN Legal business name	TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Authorized official	CECILIA QUINTERO - (CREDENTIALING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/10/2025
Last updated	12/16/2025 - About 6 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Reviews for TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC