Leslie G Tidwell in Macon - Family Medicine
Leslie G Tidwell - NPI 1568419216
Leslie G Tidwell is a Family Medicine in Macon, Georgia. Leslie G Tidwell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leslie G Tidwell is 1568419216. The last update date is 2018-03-17.
Leslie G Tidwell's current location address is 3448 Vineville Ave, Macon, Georgia. You can contact this provider via phone number 4784050045 and fax number 4784050054. The mailing address for Leslie G Tidwell is 3448 Vineville Ave, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie G Tidwell |
|---|---|
| Address | 3448 Vineville Ave, Macon, Georgia |
| Phone Number | 4784050045 |
| Fax Number | 4784050054 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568419216 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 3448 Vineville Ave |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312041867 |
| Phone Number | 4784050045 |
| Fax Number | 4784050054 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 44359 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000866907A | GA | -- | |
| 000866907B | GA | -- | |
| 202I169707 | GA | MEDICARE ID | |
| GRP7599 | GA | MEDICARE PIN |
Post Comment/ Review Below
What is the unique identification code assigned to Leslie G Tidwell by the Centers for Medicare & Medicaid Services?
The Leslie G Tidwell has been issued the NPI (National Provider Identifier) 1568419216. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Leslie G Tidwell located?
The Leslie G Tidwell is located at 3448 Vineville Ave, Macon, GA 312041867.
What is Leslie G Tidwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leslie G Tidwell is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568419216 to Leslie G Tidwell?
The Leslie G Tidwell received its 1568419216 assignment from the Centers for Medicare & Medicaid Services on 2006-05-28.
When was the information regarding Leslie G Tidwell most recently updated?
The details pertaining to the Leslie G Tidwell, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.