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1073695292
WILLIAM C TIDMORE
VALDOSTA, GA
NPI
1073695292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: GA 041978)
Enumeration Date
2006-10-19
Last Update Date
2020-09-08
Business Address
Dr. WILLIAM C TIDMORE M.D.
2418 N OAK ST
VALDOSTA, GA 31602-2576
Phone number: 229-219-0247
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Mailing Address
Dr. WILLIAM C TIDMORE M.D.
2418 N OAK ST
VALDOSTA, GA 31602-2576
Phone number: 229-219-0247
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