Western Tidewater Community Services Board
Western Tidewater Community Services Board is a Primary Care Clinic/Center in Suffolk, Virginia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
7025 Harbour View Blvd Ste 119Suffolk, VA 23435-2762
Phone: (757) 966-2805
Fax: (757) 673-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1245082270 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Demetrios Peratsakis — Executive Director · (757) 377-2397 |
| NPI enumerated | April 3, 2024 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
| Mailing address | 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435-2762 |
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