PS
PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
VIRGINIA BEACH, VA
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1699818237
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients858
Authorized official
NameWILLIAM MONTGOMERY
TitleAUTHORIZED OFFICIAL
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