SearchTennessee163WC1500X

Averi Tidwell

NPI 1194611152 · on the registry since 2025

Practice

Address
1031 War Eagle Dr
Lewisburg, TN 37091
Phone
(931) 359-1551
Clinicians at this address
3

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee