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1578658670
THOMAS JACKSON TIDWELL
COLUMBUS, GA
NPI
1578658670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QX0203X Clinic/Center, Oncology, Radiation
(Licence: GA 18964)
Enumeration Date
2006-10-04
Last Update Date
2009-10-16
Business Address
Dr. THOMAS JACKSON TIDWELL M.D.
2121 WARM SPRINGS RD STE B
COLUMBUS, GA 31904-7954
Phone number: 706-660-8121
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Mailing Address
Dr. THOMAS JACKSON TIDWELL M.D.
2121 WARM SPRINGS RD STE B
COLUMBUS, GA 31904-7954
Phone number: 706-660-8121
Copy
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