Search › Tennessee › 2471S1302X
Antonia Tidwell, RDMS, RVT, RDCS, RTR
NPI 1548519739 · on the registry since 2012 · sole proprietor
Practice
- Address
- 323 Savannah Rdg
Murfreesboro, TN 37127 - Phone
- (615) 708-3179
- Organisation at this address
- Wingate Mobile, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2471S1302X
2471S1302X
- Also registered as
- 246XS1301X
2471C3402X
2471V0105X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-03
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