Christopher K Tidwell in Columbus - Internal Medicine

Christopher K Tidwell - NPI 1114032323

Christopher K Tidwell is a Internal Medicine in Columbus, Georgia. Christopher K Tidwell practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Christopher K Tidwell is 1114032323. The last update date is 2016-04-06.

Christopher K Tidwell's current location address is 1538 13th Avenue, Columbus, Georgia. You can contact this provider via phone number 7064947000 and fax number 7064947011. The mailing address for Christopher K Tidwell is 1538 13th Avenue, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher K Tidwell
Address 1538 13th Avenue, Columbus, Georgia
Phone Number 7064947000
Fax Number 7064947011
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1114032323
Provider Enumeration Date 2006-08-20
Last Updated Date 2016-04-06

Provider Mailing Address Detail

Address 1538 13th Avenue
City Columbus
State Georgia (GA)
Post Code 319011595
Phone Number 7064947000
Fax Number 7064947011

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 54351
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
551575810A GA --

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FAQs about Christopher K Tidwell

What is the unique 10-digit identifier code issued to Christopher K Tidwell by the Centers for Medicare & Medicaid Services?

The Christopher K Tidwell has been assigned the NPI (National Provider Identifier) 1114032323 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Christopher K Tidwell is physically located?

The Christopher K Tidwell is situated at the following address: 1538 13Th Avenue, Columbus, GA 319011595.

What is Christopher K Tidwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christopher K Tidwell's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did Christopher K Tidwell receive its 1114032323 assignment from the Centers for Medicare & Medicaid Services?

The Christopher K Tidwell was assigned its 1114032323 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Christopher K Tidwell most recently updated or revised?

The information pertaining to Christopher K Tidwell, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-06.

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