| Christopher K. Tidwell, M.d., P.c. | |
|
1538 13th Ave C100 Columbus GA 31901 | |
| (706) 494-7000 | |
| (706) 494-7011 |
| Full Name | Christopher K. Tidwell, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1538 13th Ave C100, Columbus, Georgia |
| Authorized Official Name and Position | Christopher K. Tidwell (PHYSICIAN) |
| Authorized Official Contact | 7064947000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher K. Tidwell, M.d., P.c. 1538 13th Ave C100 Columbus GA 31901-1956 Ph: (706) 494-7000 | Christopher K. Tidwell, M.d., P.c. 1538 13th Ave C100 Columbus GA 31901 Ph: (706) 494-7000 |
| NPI Number | 1265647424 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 03/22/2011 |
| Medicare PECOS PAC ID | 9032180302 |
|---|---|
| Medicare Enrollment ID | O20040802001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265647424 | NPI | - | NPPES |
| Provider Name | Christopher K Tidwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114032323 PECOS PAC ID: 3476524745 Enrollment ID: I20040804001062 |
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