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Leslie G Tidwell, MD
Family Medicine Physician in Macon, Georgia
NPI 1568419216

Leslie G Tidwell is a Family Medicine Physician based in Macon, GA. Leslie G Tidwell practices in Macon, GA and has the professional credentials of MD. The NPI Number for Leslie G Tidwell is 1568419216 and holds a License No. 44359 (Georgia).

The current practice location address for Leslie G Tidwell is 3448 Vineville Ave, Macon, GA and can be reached out via phone at 478-405-0045 and via fax at 478-405-0054.

Location: 3448 Vineville Ave, Macon, GA, 31204-1867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568419216
Provider Name
Leslie G Tidwell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3448 Vineville Ave, Macon, GA, 31204-1867
Phone Number
478-405-0045
Fax Number
478-405-0054
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000866907A 05 GA
000866907B 05 GA
202I169707 01 GA MEDICARE ID
GRP7599 01 GA MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
3448 Vineville Ave
City
Macon
State
Georgia
Zip
31204-1867
Phone Number
478-405-0045
Fax Number
478-405-0054
person
Provider Business Mailing Address Details
Address
3448 Vineville Ave
City
Macon
State
Georgia
Zip
31204-1867
Phone Number
478-405-0045
Fax Number
478-405-0054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
44359 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
44359 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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