SearchSouth Carolina1223G0001X

Todd Tidwell

NPI 1659494565 · on the registry since 2007

Practice

Address
1121 Broad Street
Suite 46
Sumter, SC 29150
Phone
(803) 436-5640
Fax
(803) 436-5641
Clinicians at this address
7

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 South Carolina