Individual
TONYA R TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 DEER TRACK DR, HAMILTON, AL 35570-9679
(205) 412-1434
Mailing address
175 DEER TRACK DR, HAMILTON, AL 35570-9679
(205) 412-1434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-102367
AL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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