Organization
CHRISTOPHER K. TIDWELL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER K. TIDWELL M.D. (PHYSICIAN)
(706) 494-7000
Entity
Organization
Contact information
Practice address
1538 13TH AVE C100, COLUMBUS, GA 31901
(706) 494-7000
(706) 494-7011
Mailing address
1538 13TH AVE, C100, COLUMBUS, GA 31901-1956
(706) 494-7000
(706) 494-7011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054351
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
054351
GA
207RP1001X
Pulmonary Disease Physician
Primary
054351
GA
Other
Enumeration date
05/11/2007
Last updated
03/22/2011
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