Individual
DR. BRENT ALAN TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
819 MIMOSA PARK RD, TUSCALOOSA, AL 35405-4839
(205) 752-7503
(205) 752-7513
Mailing address
819 MIMOSA PARK ROAD, TUSCALOOSA, AL 35405-3964
(205) 752-7503
(205) 752-7513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1802
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51035545
BLUE CROSS
AL
01
—
51542858
BLUE CROSS
AL
Enumeration date
08/25/2006
Last updated
07/08/2015
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