LEE ANN TIDMAN

BLUE RIDGE, GA
NPI1316947260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN043489)
Enumeration Date2005-07-21
Last Update Date2011-05-09
Business Address
-- LEE ANN TIDMAN CNP
101 RIVERSTONE VIS SUITE 205
BLUE RIDGE, GA 30513-6648
Phone number: 706-632-4400
Mailing Address
-- LEE ANN TIDMAN CNP
101 RIVERSTONE VIS
BLUE RIDGE, GA 30513-6648
Phone number: 706-632-4400
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