All Medicaid billing entities listing TIDWELL, LYNNE (BUSINESS MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Alabama | 1 | $423.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SULLINS EYE CARE CENTER, INC. | MADISON, AL | Optometrist | $423.00 |