# CHRISTOPHER K. TIDWELL, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265647424
- **Authorized official:** DR. CHRISTOPHER K. TIDWELL M.D. (PHYSICIAN)
- **Authorized official phone:** (706) 494-7000

## Contact information

- **Practice address:** 1538 13TH AVE C100, COLUMBUS, GA 31901
- **Practice address phone:** (706) 494-7000
- **Practice address fax:** (706) 494-7011
- **Mailing address:** 1538 13TH AVE, C100, COLUMBUS, GA 31901-1956
- **Mailing address phone:** (706) 494-7000
- **Mailing address fax:** (706) 494-7011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 054351 | GA | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 054351 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 054351 | GA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 03/22/2011