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Organization
DR. KAREN A. TIDMORE
Active
Organization
DR. KAREN A. TIDMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TIDMORE (FAMILY PRACTICE)
(931) 967-7716
Entity
Organization
Contact information
Practice address
1811 SHARP SPRINGS RD, WINCHESTER, TN 37398-4659
(931) 967-7716
Mailing address
1811 SHARP SPRINGS RD, WINCHESTER, TN 37398-4659
(931) 967-7716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 0000000400
TN
363LF0000X
Family Nurse Practitioner
APN0000015232
TN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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