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Organization

SERENA D. TIDWELL, M.D., P.C.

Active
Other names
Midtown OB GYN
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SERENA DAVIS TIDWELL M.D. (PRESIDENT)
(706) 320-2547
Entity
Organization

Contact information

Practice address
1538 13TH AVE, SUITE C200, COLUMBUS, GA 31901-1956
(706) 320-2547
(706) 320-2549
Mailing address
1538 13TH AVE, SUITE C200, COLUMBUS, GA 31901-1956
(706) 320-2547
(706) 320-2549

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
051192
GA

Other

Enumeration date
10/26/2006
Last updated
01/20/2015
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