person
Taylor Tidwell
Student in an Organized Health Care Education/Training Program in Columbia, South Carolina
NPI 1326899691

Taylor Tidwell is a Student in an Organized Health Care Education/Training Program based in Columbia, SC. Taylor Tidwell practices in Columbia, SC. The NPI Number for Taylor Tidwell is 1326899691 and holds a License No. (South Carolina).

The current practice location address for Taylor Tidwell is 2 Medical Park Rd, Columbia, SC and can be reached out via phone at 803-434-7931.

Location: 2 Medical Park Rd, Columbia, SC, 29203-6808
person
Provider Profile Details
NPI Number
1326899691
Provider Name
Taylor Tidwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Medical Park Rd, Columbia, SC, 29203-6808
Phone Number
803-434-7931
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2 Medical Park Rd
City
State
Zip
29203-6808
Phone Number
803-434-7931
Fax Number
person
Provider Business Mailing Address Details
Address
2 Medical Park Rd
City
State
Zip
29203-6808
Phone Number
803-434-7931
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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