Ear, Nose&throat of Tidewater Inc
Ear, Nose&throat of Tidewater Inc is an Otolaryngology Physician in Suffolk, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2790 Godwin Blvd Ste 205Suffolk, VA 23434-8151
Phone: (757) 934-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X |
|---|
Record details
| NPI number | 1467533109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Lyle — President · (757) 934-7753 |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1109 Pine Valley Dr, Suffolk, VA 23434-6232 |
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Sentara Medical Group
2790 Godwin Blvd Ste 205, Suffolk, VA 23434-8151 · (757) 934-7753