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1790781805
JOHN W. TIDWELL
CHARLOTTE, NC
NPI
1790781805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 17907)
Enumeration Date
2005-06-23
Last Update Date
2007-07-08
Business Address
Dr. JOHN W. TIDWELL MD
2801 RANDOLPH RD STE 200
CHARLOTTE, NC 28211-1051
Phone number: 704-377-5675
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Mailing Address
Dr. JOHN W. TIDWELL MD
2801 RANDOLPH RD STE 200
CHARLOTTE, NC 28211-1051
Phone number: 704-377-5675
Copy
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