DR. Serena Davis Tidwell, M.D.

NPI #1033141031 in Columbus, Georgia

Provider Information

NPI Number: 1033141031
Entity Type: Individual
Name: DR. Serena Davis Tidwell, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 7, 2006
Last Updated: Mar 17, 2011

Practice Location

Address: 1538 13TH AVE
Address 2: SUITE C 200
City: Columbus
State: Georgia
ZIP Code: 31901-1956
Phone: (706) 320-2547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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