AUSTIN TIDWELL
Hospitalist
Active
Individual
NPI: 1366862690
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | 14843 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Hospitalist | 208M00000X | Yes | 14843 (CA) |
Frequently Asked Questions
NPI 1366862690 is the National Provider Identifier for AUSTIN TIDWELL, a Hospitalist provider located in Johnson City, NY. This NPI was enumerated on April 25, 2014.
AUSTIN TIDWELL practices at 33-57 HARRISON ST, Johnson City, NY 13790.
Quick Facts
- NPI
- 1366862690
- Type
- Individual
- Enumerated
- Apr 25, 2014
- Last Updated
- May 25, 2022
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