person
Dr. Brent Alan Tidwell, DC
Chiropractor in Tuscaloosa, Alabama
NPI 1154438802

Brent Alan Tidwell is a Chiropractor based in Tuscaloosa, AL. Brent Alan Tidwell practices in Tuscaloosa, AL and has the professional credentials of DC. The NPI Number for Brent Alan Tidwell is 1154438802 and holds a License No. 1802 (Alabama).

The current practice location address for Brent Alan Tidwell is 819 Mimosa Park Rd, Tuscaloosa, AL and can be reached out via phone at 205-752-7503 and via fax at 205-752-7513. You can also correspond with Brent Alan Tidwell through the mailing address at 819 MIMOSA PARK ROAD, TUSCALOOSA, AL - 35405-3964 (mailing address contact number: 205-752-7503).

Location: 819 Mimosa Park Rd, Tuscaloosa, AL, 35405-3964
person
Provider Profile Details
NPI Number
1154438802
Provider Name
Brent Alan Tidwell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
819 Mimosa Park Rd, Tuscaloosa, AL, 35405-3964
Phone Number
205-752-7503
Fax Number
205-752-7513
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51035545 01 AL BLUE CROSS
51542858 01 AL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
819 Mimosa Park Rd
City
State
Zip
35405-4839
Phone Number
205-752-7503
Fax Number
205-752-7513
person
Provider Business Mailing Address Details
Address
819 Mimosa Park Road
City
State
Zip
35405-3964
Phone Number
205-752-7503
Fax Number
205-752-7513
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1802 (Alabama)
Definition
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.
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