person
Paul Timothy Tidmore, NP
Acute Care Nurse Practitioner in Knoxville, Tennessee
NPI 1457671380

Paul Timothy Tidmore is an Acute Care Nurse Practitioner based in Lenoir City, TN and is specialized in Acute Care. Paul Timothy Tidmore practices in Knoxville, TN and has the professional credentials of NP. The NPI Number for Paul Timothy Tidmore is 1457671380 and holds a License No. 14982 (Tennessee).

The current practice location address for Paul Timothy Tidmore is 2210 Sutherland Ave Ste 110, Knoxville, TN and can be reached out via phone at 865-525-4333 and via fax at 865-374-2203. You can also correspond with Paul Timothy Tidmore through the mailing address at 460 MEDICAL PARK DR STE 106, LENOIR CITY, TN - 37772-5782 (mailing address contact number: 865-988-4452).

Location: 2210 Sutherland Ave Ste 110, Knoxville, TN, 37772-5782
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Provider Profile Details
NPI Number
1457671380
Provider Name
Paul Timothy Tidmore
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2210 Sutherland Ave Ste 110, Knoxville, TN, 37772-5782
Phone Number
865-525-4333
Fax Number
865-374-2203
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1523332 05 TN
institution
Provider Business Practice Location Address Details
Address
2210 Sutherland Ave Ste 110
City
State
Zip
37919-2337
Phone Number
865-525-4333
Fax Number
865-374-2203
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Provider Business Mailing Address Details
Address
460 Medical Park Dr Ste 106
City
State
Zip
37772-5782
Phone Number
865-988-4452
Fax Number
865-988-6293
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
14982 (Tennessee)
Definition
Definition to come...
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