CHRISTINA MICHELLE TIDWELL

VIDALIA, GA
NPI1528447372
Former NameCHRISTINA MICHELLE DACEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  7597)
Enumeration Date2015-05-27
Last Update Date2024-07-25
Business Address
Mrs. CHRISTINA MICHELLE TIDWELL PA
1 MEADOWS PKWY
VIDALIA, GA 30474-8759
Phone number: 912-535-5555
Mailing Address
Mrs. CHRISTINA MICHELLE TIDWELL PA
PO BOX 597
METTER, GA 30439-0597
Phone number: 912-685-1244
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