James Elliott Tidwell in Owensboro - Plastic Surgery

James Elliott Tidwell - NPI 1942427380

James Elliott Tidwell is a Plastic Surgery in Owensboro, Kentucky. James Elliott Tidwell practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for James Elliott Tidwell is 1942427380. The last update date is 2021-07-01.

James Elliott Tidwell's current location address is 2211 Mayfair Dr Ste 305, Owensboro, Kentucky. You can contact this provider via phone number 2706883700 and fax number 2706883709. The mailing address for James Elliott Tidwell is 2211 Mayfair Dr Ste 305, Owensboro, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name James Elliott Tidwell
Address 2211 Mayfair Dr Ste 305, Owensboro, Kentucky
Phone Number 2706883700
Fax Number 2706883709
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1942427380
Provider Enumeration Date 2007-04-19
Last Updated Date 2021-07-01

Provider Mailing Address Detail

Address 2211 Mayfair Dr Ste 305
City Owensboro
State Kentucky (KY)
Post Code 423014572
Phone Number 2706883700
Fax Number 2706883709

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 47992
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about James Elliott Tidwell

What is the unique 10-digit identification code assigned to James Elliott Tidwell by the Centers for Medicare & Medicaid Services?

The James Elliott Tidwell has been issued the NPI (National Provider Identifier) 1942427380, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of James Elliott Tidwell?

The James Elliott Tidwell is physically situated at 2211 Mayfair Dr Ste 305, in the city of Owensboro, state of KY, with the postal code 423014572.

What is the James Elliott Tidwell's specialty and taxonomy code?

The James Elliott Tidwell's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date was the 1942427380 assigned to James Elliott Tidwell?

The James Elliott Tidwell was issued its 1942427380 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to James Elliott Tidwell most recently updated or refreshed?

The details pertaining to the James Elliott Tidwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-01.

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