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1811535305
ANGELA TISDOL
THOMASVILLE, GA
NPI
1811535305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN107183)
Enumeration Date
2019-12-15
Last Update Date
2019-12-15
Business Address
ANGELA TISDOL
116 ROSEDALE AVE
THOMASVILLE, GA 31792-6655
Phone number: 229-228-6577
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Mailing Address
ANGELA TISDOL
2000 LULLWATER RD
ALBANY, GA 31707-3151
Phone number: 229-343-8399
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