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1326899691
TAYLOR PAUL TIDWELL
COLUMBIA, SC
NPI
1326899691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: SC LL92475)
Enumeration Date
2024-03-27
Last Update Date
2024-07-25
Business Address
TAYLOR PAUL TIDWELL MD
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-434-7931
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Mailing Address
TAYLOR PAUL TIDWELL MD
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number:
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