Organization · Type 2 NPI

Serena D. Tidwell, M.d., P.c.

Point of Service · Columbus, GA

NPI number 1689759581 Active

Practice location

1538 13th Ave, Suite C200
Columbus, GA 31901-1956

Fax (706) 320-2549

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X051192 (GA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1689759581

Serena D. Tidwell, M.d., P.c.'s National Provider Identifier is 1689759581, issued on Oct 26, 2006. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Columbus, GA. The record was last updated on Jan 20, 2015.