Individual provider · Type 1 NPI

Detra Michelle Tisdale, MD

Internal Medicine Physician · Cordova, TN

NPI number 1730273079 Active

Practice location

1144 N Houston Levee Rd, Suite 102
Cordova, TN 38018-7145

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X053713 (GA)
Internal Medicine Physician 207R00000XMD202661 (LA)
Internal Medicine Physician Primary 207R00000X46435 (TN)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1730273079

Detra Michelle Tisdale, MD's National Provider Identifier is 1730273079, issued on Oct 3, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Cordova, TN. The record was last updated on Dec 6, 2010.