PAUL TIMOTHY TIDMORE

KNOXVILLE, TN
NPI1457671380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  14982)
Enumeration Date2010-06-02
Last Update Date2024-04-24
Business Address
PAUL TIMOTHY TIDMORE NP
2210 SUTHERLAND AVE STE 110
KNOXVILLE, TN 37919-2337
Phone number: 865-525-4333
Mailing Address
PAUL TIMOTHY TIDMORE NP
460 MEDICAL PARK DR STE 106
LENOIR CITY, TN 37772-5782
Phone number: 865-988-4452
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