Thomas Jackson Tidwell in Columbus - Oncology, Radiation

Thomas Jackson Tidwell - NPI 1578658670

Thomas Jackson Tidwell is a Oncology, Radiation in Columbus, Georgia. Thomas Jackson Tidwell practices all healthcare services and medical treatments related to Oncology, Radiation. The NPI Number for Thomas Jackson Tidwell is 1578658670. The last update date is 2009-10-16.

Thomas Jackson Tidwell's current location address is 2121 Warm Springs Rd Ste B, Columbus, Georgia. You can contact this provider via phone number 7066608121 and fax number 7063234205. The mailing address for Thomas Jackson Tidwell is 2121 Warm Springs Rd Ste B, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Jackson Tidwell
Address 2121 Warm Springs Rd Ste B, Columbus, Georgia
Phone Number 7066608121
Fax Number 7063234205
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1578658670
Provider Enumeration Date 2006-10-04
Last Updated Date 2009-10-16

Provider Mailing Address Detail

Address 2121 Warm Springs Rd Ste B
City Columbus
State Georgia (GA)
Post Code 319047954
Phone Number 7066608121
Fax Number 7063234205

Provider's Primary Taxonomy Detail

Speciality Oncology, Radiation
Taxonomy 261Qx0203X
Licence No 18964
Definition:
Uses high energy radiation to treat cancer.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
300028978A GA --

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FAQs about Thomas Jackson Tidwell

What is the Thomas Jackson Tidwell's unique identification number?

The Thomas Jackson Tidwell has been assigned the NPI (National Provider Identifier) Number 1578658670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Thomas Jackson Tidwell?

The Thomas Jackson Tidwell is situated at 2121 Warm Springs Rd Ste B, in the city of Columbus, state of GA, with the zip code 319047954.

What is Thomas Jackson Tidwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas Jackson Tidwell is Oncology, Radiation, and the corresponding taxonomy classification code for this specialized field is 261Qx0203X.

On what date did the Thomas Jackson Tidwell receive its 1578658670 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Jackson Tidwell was assigned its 1578658670 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date was the information pertaining to Thomas Jackson Tidwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Jackson Tidwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-16.

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