Nathan Tidwell, DO | |
300 W Hospital Rd, Fort Eisenhower, GA 30905-5741 | |
(706) 787-8668 | |
(706) 787-7136 |
Full Name | Nathan Tidwell |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 300 W Hospital Rd, Fort Eisenhower, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780098756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 075019 (Georgia) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 75019 (Georgia) | Primary |
Entity Name | Intermountain Medical Group Denver, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
Mailing Address | Practice Location Address |
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Nathan Tidwell, DO 300 W Hospital Rd, Fort Eisenhower, GA 30905-5741 Ph: (706) 787-8668 | Nathan Tidwell, DO 300 W Hospital Rd, Fort Eisenhower, GA 30905-5741 Ph: (706) 787-8668 |
Matthias Williams, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: Dwight D Eisenhower Army Medical Center, 300 E Hospital Road, Fort Eisenhower, GA 30809 Phone: 706-787-2252 | |
Dr. Peter Thomas Fanikos, DO Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 300 East Hospital Road, Fort Eisenhower, GA 30905 Phone: 978-886-4585 | |
Dr. Joseph Alexander Kerr, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 300 E Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-5811 | |
Dr. David Edward Bonnin, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: D.d. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Eisenhower, GA 30805 Phone: 706-787-6945 Fax: 706-787-0304 | |
Dr. Nicholas Hayes Orr, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-6922 | |
John Michael Curtin, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 300 E Hospital Road, Fort Eisenhower, GA 30905 Phone: 703-475-2615 |