DR. DENNIS A TIDWELL (NPI# 1629126818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629126818 |
| Entity Type | Individual |
| Full Name | DR. DENNIS A TIDWELL |
| Credential | DC |
| Practice Address |
4187 Gainesville Hwy Blairsville GA 30512-6506 |
| Mailing Address |
4187 Gainesville Hwy Blairsville GA 30512-6501 |
| Practice Telephone | 7068351734 |
| Practice Fax Number | 7068351735 |
| Mailing Telephone | 7068351734 |
| Mailing Fax Number | 7068351735 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1449 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CHIROPRACTIC LICENSE | 1449 | 01 |
| Street Address |
4187 GAINESVILLE HWY |
| City | BLAIRSVILLE |
| State | GA |
| Zip Code | 30512-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456229 | Southeast Eye Group LLC | Optometrist | 17 Hometown Way, Blairsville, GA 30512 | 2020-01-15 |
| 1902395247 | Pamela Jones | Pharmacist | 207 Highway 515, Blairsville, GA 30512 | 2018-05-02 |
| 1780095851 | Joshua R Kennedy | Pediatrics | 77 Weaver Rd Ste B, Blairsville, GA 30512 | 2014-05-12 |
| 1659634889 | Amy Kight | Occupational Therapist | 383 Fox Flds, Blairsville, GA 30512 | 2012-06-22 |
| 1184986846 | Blair House Dental, LLC | Dentist | 10 Deer Crossing Tr., Blairsville, GA 30512 | 2012-06-08 |
| 1215221718 | Connie Duncan | Hearing Instrument Specialist | 281c Young Harris Street, Blairsville, GA 30512 | 2011-06-02 |
| 1407154727 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 10 B Hughes St, Blairsville, GA 30512 | 2011-03-10 |
| 1114228558 | Ingles Markets Inc | Pharmacy | 207b Highway 515, Blairsville, GA 30512 | 2010-11-16 |
| 1720300569 | Steven H. Senart | Chiropractor | 215 Blue Ridge Street, Suite E, Blairsville, GA 30512 | 2010-02-22 |
| 1649407552 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2257 Hwy 515, Blairsville, GA 30512 | 2009-06-18 |
| Find all providers in zip 30512 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528411543 | Jordan Schroter | Chiropractor | 108 Blue Ridge Hwy, Suite #12, Blairsville, GA 30512-4458 | 2016-07-14 |
| 1720300569 | Steven H. Senart | Chiropractor | 215 Blue Ridge Street, Suite E, Blairsville, GA 30512 | 2010-02-22 |
| 1285810226 | World-wide Wellness Chiropractic LLC | Chiropractor | 135 W Market St, Blairsville, PA 15717-1301 | 2008-01-19 |
| 1528253697 | Daniel Eric Paouncic | Chiropractor | 700 High Rise Dr, Blairsville, PA 15717-8282 | 2007-09-11 |
| 1326252412 | Dennis A Tidwell Pa | Chiropractor | 3454 Gainesville Hwy, Blairsville, GA 30512-6501 | 2007-05-09 |
| 1609088723 | Chestnut Ridge Chiropractic | Chiropractor | 23 Heybert Drive, Blairsville, PA 15717 | 2007-05-03 |
| 1518011105 | James Leonard Strong | Chiropractor | 23 Heybert Dr, Blairsville, PA 15717-7890 | 2007-01-22 |
| 1851498562 | Frank R Debartolo | Chiropractor | 266 Shoe Factory Rd, Suite 3, Blairsville, GA 30512-4628 | 2006-09-17 |
| 1376655472 | Fredrick Mark Baker | Chiropractor | 561 Deep South Farm Rd, Suite 1, Blairsville, GA 30512-2220 | 2006-08-31 |
| 1083604607 | Andrew Z Linial Jr. | Chiropractor | 223 Commerce Dr, Suite 2, Blairsville, GA 30512-8913 | 2005-10-25 |
| Find all providers in BLAIRSVILLE | ||||
| City | BLAIRSVILLE |
| Zip Code | 30512 |
Please comment or provide details below to improve the information on DR. DENNIS A TIDWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.