Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN TIDWELL, D.O.
Active Sole ProprietorNATHAN TIDWELL, D.O. is a Hematology healthcare provider located in NORTH AUGUSTA, South Carolina. NPI 1780098756 is currently active in the NPPES registry. Verify at CMS.
Hematology · NORTH AUGUSTA, SC
Registration Details
- NPI Number
- 1780098756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2014 (12.180223076083 yrs)
- Last Updated
- Oct 27, 2025
- Licenses
-
75019 (GA)075019 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 BLUFF AVE # 29841NORTH AUGUSTA, SC, 298413862Browse SC providers · Browse ZIP 29841
- Phone
- 8036241313
- Fax
- 8034269236
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.