Individual
ALYSON TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 NEW FORSYTH RD, MACON, GA 31210-5770
(478) 238-5757
Mailing address
1001 WALNUT ST UNIT A, MACON, GA 31201-1904
(478) 954-9631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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