LAUREN BLAIR TIDWELL

HUNTSVILLE, AL
NPI1497204002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AL  PA.1163)
Enumeration Date2016-09-23
Last Update Date2021-09-11
Business Address
LAUREN BLAIR TIDWELL PA-C
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801-5623
Phone number: 256-881-4112
Mailing Address
LAUREN BLAIR TIDWELL PA-C
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801-5623
Phone number: 256-881-4112
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