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Michelle Louise Tidd, PA
Physician Assistant in Charlotte, North Carolina
NPI 1194126813

Michelle Louise Tidd is a Physician Assistant based in Charlotte, NC. Michelle Louise Tidd practices in Charlotte, NC and has the professional credentials of PA. The NPI Number for Michelle Louise Tidd is 1194126813 and holds a License No. (North Carolina).

The current practice location address for Michelle Louise Tidd is 449 N Wendover Rd Ste A, Charlotte, NC and can be reached out via phone at 704-316-6005 and via fax at 704-316-6006.

Location: 449 N Wendover Rd Ste A, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194126813
Provider Name
Michelle Louise Tidd
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
449 N Wendover Rd Ste A, Charlotte, NC, 28260-0447
Phone Number
704-316-6005
Fax Number
704-316-6006
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3462PA 05 SC
SCC0067628 01 SC MEDICARE PIN
003152485A 05 GA
institution
Provider Business Practice Location Address Details
Address
449 N Wendover Rd Ste A
City
Charlotte
State
North Carolina
Zip
28211-1064
Phone Number
704-316-6005
Fax Number
704-316-6006
person
Provider Business Mailing Address Details
Address
449 N Wendover Rd Ste A
City
Charlotte
State
North Carolina
Zip
28211-1064
Phone Number
704-316-6005
Fax Number
704-316-6006
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2865 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
(Georgia)
Definition
Definition to come...
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