Individual
NATHAN TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(803) 624-1313
(803) 426-9236
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(803) 624-1313
(803) 426-9236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
075019
GA
207RH0003X
Hematology & Oncology Physician
Primary
75019
GA
Other
Enumeration date
06/17/2014
Last updated
03/12/2026
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