Tidwell, Christopher K

Tidwell, Christopher K is an sole proprietor health care provider with primary practice located at 1538 13Th Ave C100, Columbus GA 31901-1595. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tidwell, Christopher K can be contacted via phone (706) 494-7000.

Contact Information

Primary practice address
1538 13Th Ave C100 Columbus GA 31901-1595
Phone: (706) 494-7000
Fax: (706) 494-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 054351 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 054351 Georgia

Profile Details

NPI number 1114032323
LBN Legal business name Tidwell, Christopher K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Apr 6th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114032323 NPPES
Georgia MEDICAID 551575810A

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