DALTON TIDWELL

GREENWOOD, SC
NPI1174261192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  88141)
Enumeration Date2022-05-20
Last Update Date2023-09-15
Business Address
DALTON TIDWELL MD
1325 SPRING ST
GREENWOOD, SC 29646-3860
Phone number: 864-725-4780
Mailing Address
DALTON TIDWELL MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number:
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