Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Family Practice, PC

Organization Family Medicine Physician · NPI 1750462628

Tidewater Family Practice, PC provides Family Medicine Physician services in Virginia Beach, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4660 Haygood Rd
Virginia Beach, VA 23455-5436
Phone: (757) 460-0243
Fax: (757) 460-1011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1750462628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Holt — Owner · (757) 460-0243
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4660 Haygood Rd, Virginia Beach, VA 23455-5436

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