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Dr. WILLIAM JAMES TIDWELL MD

Individual Provider (NPI-1) Active

Dermatology, MOHS-Micrographic Surgery

Provider Information

NPI Number
1962849463
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
100 SPRINGHOUSE CT, HENDERSONVILLE, TN, 370751609
Phone
(615) 824-7491
Fax
(615) 449-5740

Specialties & Taxonomies

Dermatology License: CA #A147575
Dermatology License: KY #51181
Dermatology, MOHS-Micrographic Surgery License: KY #51181
Dermatology, MOHS-Micrographic Surgery License: CA #A14575
Dermatology, MOHS-Micrographic Surgery Primary License: TN #56778

All Addresses

MAILING

107 GLIDEPATH WAY

LEBANON, TN, 370904133

(615) 449-5771

LOCATION

100 SPRINGHOUSE CT

HENDERSONVILLE, TN, 370751609

(615) 824-7491