NPI 1134858301
Tony Maurice Tidwell
Practice location
- Address
- 4503 Devonhill Ln, Charlotte, NC 28269-4077
- Phone
- (980) 215-3027
Registered specialties
Transportation Network Company
Primary
Registry record
- NPI
- 1134858301
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jun 2022
- Record last updated
- 5 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.