Individual
GEORGE D TIEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 875-2371
Mailing address
236 CARRYBACK DR SW, PATASKALA, OH 43062-9548
(740) 927-9180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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