JAMES ELLIOTT TIDWELL III MD
Individual Provider (NPI-1)
Active
Surgery, Plastic and Reconstructive Surgery
Provider Information
- NPI Number
1942427380- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2211 MAYFAIR DR STE 305, OWENSBORO, KY, 423014572
- Phone
- (270) 688-3700
- Fax
- (270) 688-3709
Specialties & Taxonomies
Plastic Surgery
License: KY #47992
Surgery, Plastic and Reconstructive Surgery
Primary License: KY #47992