Provider Demographics
NPI:1982339354
Name:TINDELL, SYDNEY GRACE
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:GRACE
Last Name:TINDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 AVERETTE DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-4564
Mailing Address - Country:US
Mailing Address - Phone:205-340-3246
Mailing Address - Fax:
Practice Address - Street 1:223 AVERETTE DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-4564
Practice Address - Country:US
Practice Address - Phone:205-340-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program