Search › South Carolina › 363LA2200X
Nicole Tidd
NPI 1700295284 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1137 Cook Rd
Orangeburg, SC 29118 - Phone
- (803) 531-0970
- Fax
- (803) 395-2237
- Organisation at this address
- George E Castro
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-22
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