Dr William C Tidmore Jr, MD | |
2418 N Oak St, Valdosta, GA 31602-2576 | |
(229) 219-0247 | |
(229) 219-0837 |
Full Name | Dr William C Tidmore Jr |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 34 Years |
Location | 2418 N Oak St, Valdosta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073695292 | NPI | - | NPPES |
00701027C | Medicaid | GA | |
00701027G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 041978 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Valdosta | Valdosta, GA | Home health agency |
Georgia Home Health Services | Valdosta, GA | Home health agency |
South Georgia Medical Center | Valdosta, GA | Hospital |
Tift Regional Medical Center | Tifton, GA | Hospital |
Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valdosta Family Medicine Associates, P.c. | 5991791683 | 29 |
Entity Name | Valdosta Family Medicine Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114003779 PECOS PAC ID: 5991791683 Enrollment ID: O20040420001241 |
Mailing Address | Practice Location Address |
---|---|
Dr William C Tidmore Jr, MD 2418 N Oak St, Valdosta, GA 31602-2576 Ph: (229) 219-0247 | Dr William C Tidmore Jr, MD 2418 N Oak St, Valdosta, GA 31602-2576 Ph: (229) 219-0247 |
Dr. Asma Yasin, MBBS Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 | |
Dr. Nikolay Gogin, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131 | |
Dr. Felix G Valdez, MD Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Moriamo Adedoyin Fashugba, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Gerald S Light, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 | |
Dr. Michael Heron, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 |