IndividualActive
William Tidwell, MD
NPI 1962849463 · MOHS-Micrographic Surgery Physician · Hendersonville, TN
Provider details
- NPI number
- 1962849463
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A147575 (CA)
Practice location
100 Springhouse Ct
Hendersonville, TN 37075-1609
Phone: (615) 824-7491
Fax: (615) 449-5740
Mailing address
107 Glidepath Way
Lebanon, TN 37090-4133
Registry dates
- Enumerated
- 2013-05-24
- Last updated
- 2023-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.