REX WALLACE TIDWELL

WARNER ROBINS, GA
NPI1205902749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  010300)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
Dr. REX WALLACE TIDWELL M.D.
1601 WATSON BLVD. HOUSTON MEDICAL CENTER
WARNER ROBINS, GA 31093
Phone number: 478-542-7996
Mailing Address
Dr. REX WALLACE TIDWELL M.D.
11811 GA HIGHWAY 74
FORSYTH, GA 31029-7409
Phone number: 478-994-9877
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