Tidwell, Christina Michelle

Tidwell, Christina Michelle is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tidwell, Christina Michelle can be contacted via phone (912) 535-5555.

Contact Information

Primary practice address
1 Meadows Pkwy Vidalia GA 30474-8759
Phone: (912) 535-5555
Fax: (912) 535-5891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7597 Georgia

Profile Details

NPI number 1528447372
LBN Legal business name Tidwell, Christina Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated May 15th, 2021 - about 5 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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