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Dr. Thomas Jackson Tidwell, MD
Radiation Oncology Clinic/Center in Columbus, Georgia
NPI 1578658670

Thomas Jackson Tidwell is a Radiation Oncology Clinic/Center based in Columbus, GA and is specialized in Oncology, Radiation. Thomas Jackson Tidwell practices in Columbus, GA and has the professional credentials of MD. The NPI Number for Thomas Jackson Tidwell is 1578658670 and holds a License No. 18964 (Georgia).

The current practice location address for Thomas Jackson Tidwell is 2121 Warm Springs Rd Ste B, Columbus, GA and can be reached out via phone at 706-660-8121 and via fax at 706-323-4205.

Location: 2121 Warm Springs Rd Ste B, Columbus, GA, 31904-7954
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Provider Profile Details
NPI Number
1578658670
Provider Name
Thomas Jackson Tidwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2121 Warm Springs Rd Ste B, Columbus, GA, 31904-7954
Phone Number
706-660-8121
Fax Number
706-323-4205
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300028978A 05 GA
institution
Provider Business Practice Location Address Details
Address
2121 Warm Springs Rd Ste B
City
State
Zip
31904-7954
Phone Number
706-660-8121
Fax Number
706-323-4205
person
Provider Business Mailing Address Details
Address
2121 Warm Springs Rd Ste B
City
State
Zip
31904-7954
Phone Number
706-660-8121
Fax Number
706-323-4205
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology, Radiation
Taxonomy
License No.
18964 (Georgia)
Definition
Definition to come...
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