PHILLIP D TIDWELL

DYERSBURG, TN
NPI1659680114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics
(Licence: TN  RRT0000000395)
Enumeration Date2010-10-01
Last Update Date2013-06-12
Business Address
-- PHILLIP D TIDWELL
2148 AZTEC DR
DYERSBURG, TN 38024-1841
Phone number: 731-589-6156
Mailing Address
-- PHILLIP D TIDWELL
2148 AZTEC DR
DYERSBURG, TN 38024-1841
Phone number: 731-589-6156
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