DR. Thomas Jackson Tidwell, M.D.

NPI #1578658670 in Columbus, Georgia

Provider Information

NPI Number: 1578658670
Entity Type: Individual
Name: DR. Thomas Jackson Tidwell, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Oncology, Radiation
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Oct 16, 2009

Practice Location

Address: 2121 WARM SPRINGS RD STE B
City: Columbus
State: Georgia
ZIP Code: 31904-7954
Phone: (706) 660-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oncology, Radiation — Oncology, Radiation	261QX0203X	Primary

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