Individual
WILLIAM TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9544
(601) 703-9295
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9544
(601) 703-9295
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19358
MS
Other
Enumeration date
01/10/2008
Last updated
07/06/2021
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