| Dr Christopher K Tidwell, MD | |
|
1538 13th Ave, C100, Columbus, GA 31901-1595 | |
| (706) 494-7000 | |
| (706) 494-7011 |
| Full Name | Dr Christopher K Tidwell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1538 13th Ave, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114032323 | NPI | - | NPPES |
| 551575810A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 054351 (Georgia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 054351 (Georgia) | Primary |
| Entity Name | Christopher K. Tidwell, M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265647424 PECOS PAC ID: 9032180302 Enrollment ID: O20040802001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher K Tidwell, MD 1538 13th Avenue, Suite C100, Columbus, GA 31901-1595 Ph: (706) 494-7000 | Dr Christopher K Tidwell, MD 1538 13th Ave, C100, Columbus, GA 31901-1595 Ph: (706) 494-7000 |
Arnold Nongmoh Forlemu, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-324-6365 | |
Andrew Norbert Vernon, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-320-2773 Fax: 706-596-4226 | |
Dr. Christopher Morgan Lee, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225 | |
Dr. James Lacey Smith, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1207 Marina Cove Dr, Columbus, GA 31904 Phone: 901-412-1881 | |
Srividya Srinivasamaharaj, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1831 5th Ave, Columbus, GA 31904 Phone: 706-320-8780 Fax: 706-320-8721 | |
Dr. Mylena E Morton, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1262 Fax: 706-660-6512 | |
Da Monica Alethea Cannon, NP Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2737 Warm Springs Rd Ste C, Columbus, GA 31904 Phone: 706-571-1136 |