Serena Davis Tidwell in Columbus - Specialist
Serena Davis Tidwell - NPI 1033141031
Serena Davis Tidwell is a Specialist in Columbus, Georgia. Serena Davis Tidwell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Serena Davis Tidwell is 1033141031. The last update date is 2011-03-17.
Serena Davis Tidwell's current location address is 1538 13th Ave, Columbus, Georgia. You can contact this provider via phone number 7063202547 and fax number 7063202549. The mailing address for Serena Davis Tidwell is 1538 13th Ave, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serena Davis Tidwell |
|---|---|
| Address | 1538 13th Ave, Columbus, Georgia |
| Phone Number | 7063202547 |
| Fax Number | 7063202549 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033141031 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 1538 13th Ave |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319011956 |
| Phone Number | 7063202547 |
| Fax Number | 7063202549 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 51192 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Serena Davis Tidwell by the Centers for Medicare & Medicaid Services?
The Serena Davis Tidwell has been issued the NPI (National Provider Identifier) 1033141031 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Serena Davis Tidwell located?
The Serena Davis Tidwell is located at 1538 13Th Ave, Columbus, GA 319011956.
What is Serena Davis Tidwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Serena Davis Tidwell is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Serena Davis Tidwell receive the assignment of its 1033141031 from the Centers for Medicare & Medicaid Services?
The Serena Davis Tidwell was issued its 1033141031 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the information related to Serena Davis Tidwell most recently updated or refreshed?
The details pertaining to the Serena Davis Tidwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-17.