Individual
DR. JOHN W. TIDWELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211-1051
(704) 377-5675
(704) 335-8163
Mailing address
2801 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211-1051
(704) 377-5675
(704) 335-8163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983480
—
NC
05
—
N17907
—
SC
Enumeration date
06/23/2005
Last updated
07/08/2007
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