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Individual

GEORGE G TISDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 MONTGOMERY HWY, BIRMINGHAM, AL 35216-1805
(205) 822-5559
(205) 822-5559
Mailing address
425 MONTGOMERY HWY, BIRMINGHAM, AL 35216-1805
(205) 822-5559
(205) 822-5559

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
8522
AL

Other

Enumeration date
08/30/2006
Last updated
09/27/2010
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