THOMAS JACKSON TIDWELL

COLUMBUS, GA
NPI1578658670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QX0203X Clinic/Center, Oncology, Radiation
(Licence: GA  18964)
Enumeration Date2006-10-04
Last Update Date2009-10-16
Business Address
Dr. THOMAS JACKSON TIDWELL M.D.
2121 WARM SPRINGS RD STE B
COLUMBUS, GA 31904-7954
Phone number: 706-660-8121
Mailing Address
Dr. THOMAS JACKSON TIDWELL M.D.
2121 WARM SPRINGS RD STE B
COLUMBUS, GA 31904-7954
Phone number: 706-660-8121
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