Search › Georgia › 207Q00000X
Leslie Tidwell, MD
NPI 1568419216 · on the registry since 2006
Practice
- Address
- 3448 Vineville Ave
Macon, GA 31204 - Phone
- (478) 405-0045
- Fax
- (478) 405-0054
- Organisation at this address
- Vineville Internal Medicine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Additional practice sites
- 200 S Houston Lake Rd, Warner Robins, GA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia