Tidsworth, Mark E

Tidsworth, Mark E is an individual health care provider with primary practice located at 1431 N Lake Dr , Lexington SC 29072-7651. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Tidsworth, Mark E can be contacted via phone (803) 808-9623.

Contact Information

Primary practice address
1431 N Lake Dr Lexington SC 29072-7651
Phone: (803) 808-9623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3858 South Carolina

Profile Details

NPI number 1275695165
LBN Legal business name Tidsworth, Mark E
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Dec 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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