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Organization
DENNIS A TIDWELL PA
Active
Organization
DENNIS A TIDWELL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS A TIDWELL DC (OWNER)
(706) 835-1734
Entity
Organization
Contact information
Practice address
3454 GAINESVILLE HWY, BLAIRSVILLE, GA 30512-6501
(706) 835-1734
Mailing address
3454 GAINESVILLE HWY, BLAIRSVILLE, GA 30512-6501
(706) 835-1734
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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