Serena D. Tidwell, M.d., P.c.

NPI #1689759581 in Columbus, Georgia

Provider Information

NPI Number
1689759581
Entity Type
Organization
Organization Name
Serena D. Tidwell, M.d., P.c.
Primary Specialty
Point of Service
Enumeration Date
Oct 26, 2006
Last Updated
Jan 20, 2015

Practice Location

Address
1538 13TH AVE
Address 2
SUITE C200
State
Georgia
ZIP Code
31901-1956
Phone
(706) 320-2547

Authorized Official

Name
DR. SERENA DAVIS TIDWELL, M.D.
Title
PRESIDENT
Phone
(706) 320-2547

Specialties & Taxonomy Codes

Specialty
Point of Service

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