Individual
DR. DENNIS A TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4187 GAINESVILLE HWY, BLAIRSVILLE, GA 30512-6506
(706) 835-1734
(706) 835-1735
Mailing address
4187 GAINESVILLE HWY, BLAIRSVILLE, GA 30512-6501
(706) 835-1734
(706) 835-1735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1449
CHIROPRACTIC LICENSE
GA
Enumeration date
01/06/2007
Last updated
11/02/2011
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