Timothy Wayne Tidwell

NPI #1578693578 in Paris, Tennessee

Provider Information

NPI Number
1578693578
Entity Type
Individual
Name
Timothy Wayne Tidwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
803 JOY ST
City
Paris
ZIP Code
38242-4529
Phone
(731) 642-4025

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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