Austin Tidwell

NPI #1366862690 in Johnson City, New York

Provider Information

NPI Number: 1366862690
Entity Type: Individual
Name: Austin Tidwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Hospitalist
Enumeration Date: Apr 25, 2014
Last Updated: May 25, 2022

Practice Location

Address: 33-57 HARRISON ST
City: Johnson City
State: New York
ZIP Code: 13790-2107
Phone: (607) 763-6674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Student in an Organized Health Care Education/Training Program	390200000X
Hospitalist	208M00000X	Primary

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