Organization
PROACTIVE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP D TIDWELL RRT (REGISTERED RESPIRATORY THERAPIST)
(731) 589-6156
Entity
Organization
Contact information
Practice address
2148 AZTEC DR, DYERSBURG, TN 38024-1841
(731) 589-6156
(615) 467-8971
Mailing address
2148 AZTEC DR, DYERSBURG, TN 38024-1841
(731) 589-6156
(615) 467-8971
Taxonomy
Speciality
Code
Description
License number
State
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
RRT0000000395
TN
Other
Enumeration date
03/14/2011
Last updated
06/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us