Graduated: 2018
NPI: 1639655426
Practice Locations (2)
OBSERVATION PHYSICIANS OF TIDEWATER
830 KEMPSVILLE RD
NORFOLK, VA 235023920
7572616000
OBSERVATION PHYSICIANS OF TIDEWATER
2800 GODWIN BLVD
SUFFOLK, VA 234348038
7579344000
Source: CMS National Downloadable File, September 2026.