Whalio Doctors

NPI 1962849463

William James Tidwell, MD

Practitioner MOHS-Micrographic Surgery Physician Hendersonville, TN

Practice location

Address
100 Springhouse CT, Hendersonville, TN 37075-1609
Phone
(615) 824-7491
Fax
(615) 449-5740
Mailing address
107 Glidepath Way, Lebanon, TN 37090-4133

Registered specialties (5)

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 56778 (TN)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A147575 (CA)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 51181 (KY)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 51181 (KY)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence A14575 (CA)

Registry record

NPI
1962849463
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 May 2013
Record last updated
29 Dec 2023

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.