Tidmore, Paul Timothy
Tidmore, Paul Timothy is an individual health care provider with primary practice located at 2210 Sutherland Ave Ste 110 , Knoxville TN 37919-2337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Tidmore, Paul Timothy can be contacted via phone (865) 525-4333.Contact Information
Primary practice address
2210 Sutherland Ave Ste 110
Knoxville TN 37919-2337
Phone: (865) 525-4333
Fax: (865) 374-2203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 14982 | Tennessee |
Profile Details
NPI number | 1457671380 |
---|---|
LBN Legal business name | Tidmore, Paul Timothy |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2010 |
Last updated | Apr 24th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457671380 | NPPES |
Tennessee | MEDICAID | 1523332 |
Popular Providers
-
Ledlow, Jacob Judah
10820 Parkside Dr , Knoxville TN 37934-1956 -
Dewberry, Wendy S
1346 Papermill Pointe Way , Knoxville TN 37909-1903 -
Cook, Kathryn Taylor
1924 Alcoa Hwy # U56 , Knoxville TN 37920 -
Culver, Bethany A
1924 Alcoa Hwy # U56 , Knoxville TN 37920-1511 -
Smith, Kimberly M
4713 Papermill Dr Ste 100 , Knoxville TN 37909-1924 -
Glass, Amy Bradshaw
1940 Alcoa Hwy Suite E - 210, Knoxville TN 37920-2244 -
Mckinley, Brian Wayne
1326 Papermill Pointe Way , Knoxville TN 37909-1903 -
Witherspoon, Barbara
501 20Th St Suite 606, Knoxville TN 37916-1809