# DR. KAREN A. TIDMORE

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

## Provider details

- **NPI number:** 1679962641
- **Authorized official:** KAREN TIDMORE (FAMILY PRACTICE)
- **Authorized official phone:** (931) 967-7716

## Contact information

- **Practice address:** 1811 SHARP SPRINGS RD, WINCHESTER, TN 37398-4659
- **Practice address phone:** (931) 967-7716
- **Mailing address:** 1811 SHARP SPRINGS RD, WINCHESTER, TN 37398-4659
- **Mailing address phone:** (931) 967-7716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO 0000000400 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | APN0000015232 | TN | — |

## Other

- **Enumeration date:** 01/14/2015
- **Last updated:** 01/14/2015