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Individual

STEVEN TIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-7160
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4042
TN
363A00000X
Physician Assistant

Other

Enumeration date
06/26/2018
Last updated
10/14/2024
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