Individual
DR. SIDNEY D SELVIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7695 POPLAR PIKE, SUITE 101, GERMANTOWN, TN 38138-5947
(901) 685-2696
Mailing address
8010 STAGE HILLS BLVD, BARTLETT, TN 38133-4032
(901) 291-2400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
22516
MS
2085N0700X
Neuroradiology Physician
39279
TN
2085R0202X
Diagnostic Radiology Physician
22516
MS
2085R0202X
Diagnostic Radiology Physician
Primary
39279
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3327683
—
TN
Enumeration date
05/31/2005
Last updated
05/21/2025
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