Tony Maurice Tidwell
NPI #1134858301 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1134858301
- Entity Type
- Individual
- Name
- Tony Maurice Tidwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Transportation Network Company
- Enumeration Date
- Jun 5, 2022
- Last Updated
- Jun 5, 2022
Practice Location
- Address
- 4503 DEVONHILL LN
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28269-4077
- Phone
- (980) 215-3027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transportation Network Company |
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