Dr. Karen A. Tidmore | |
1811 Sharp Springs Rd Winchester TN 37398-4659 | |
(931) 967-7716 | |
Not Available |
Full Name | Dr. Karen A. Tidmore |
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Speciality | Family Medicine |
Location | 1811 Sharp Springs Rd, Winchester, Tennessee |
Authorized Official Name and Position | Karen Tidmore (FAMILY PRACTICE) |
Authorized Official Contact | 9319677716 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Karen A. Tidmore 1811 Sharp Springs Rd Winchester TN 37398-4659 Ph: (931) 967-7716 | Dr. Karen A. Tidmore 1811 Sharp Springs Rd Winchester TN 37398-4659 Ph: (931) 967-7716 |
NPI Number | 1679962641 |
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Provider Enumeration Date | 01/14/2015 |
Last Update Date | 01/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679962641 | NPI | - | NPPES |
0058092 | Other | TN | BCBS |
4441604 | Other | TN | CIGNA |
0058092 | Other | TN | BLUE CARE TENNCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO 0000000400 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | APN0000015232 (Tennessee) | Secondary |