Tidwell, Antonia

Tidwell, Antonia is an sole proprietor health care provider with primary practice located at 323 Savannah Rdg , Murfreesboro TN 37127-8331. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is her primary health care specialty. Tidwell, Antonia can be contacted via phone (615) 708-3179.

Contact Information

Primary practice address
323 Savannah Rdg Murfreesboro TN 37127-8331
Phone: (615) 708-3179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 115198 Tennessee
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 310458 Tennessee
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X 115198 Tennessee
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X 115198 Tennessee

Profile Details

NPI number 1548519739
LBN Legal business name Tidwell, Antonia
Credentials RDMS, RVT, RDCS, RTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2012
Last updated Sep 3rd, 2012 - about 14 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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