Dr. William C Tidmore JR.
Rheumatology
2418 N Oak St
Valdosta
, Georgia 31602-2576
Dr. William C Tidmore JR.
Rheumatology
2418 N Oak St
Valdosta
, Georgia 31602-2576
(229) 219-0837
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. William C Tidmore JR.
- 2418 N Oak St
- Valdosta, GA
- Zip : 31602-2576
- Fax : (229) 219-0837
- Phone : (229) 219-0247
Second Address
- Dr. William C Tidmore JR.
- 2418 N Oak St
- Valdosta, GA
- Zip : 31602-2576
- Fax : (229) 219-0837
- Phone : (229) 219-0247
Reviews
FAQs
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What type of doctor is Dr. William C Tidmore JR.
In what state does Dr. William C Tidmore JR. practice in?
Where is Dr. William C Tidmore JR.’s practice located?
What is Dr. William C Tidmore JR.’s gender?
Is Dr. William C Tidmore JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 041978 | GA |
National Provider Identifier
| NPI | 1073695292 |
|---|---|
| Provider Name | Dr. William C Tidmore JR. |
| First Address | Valdosta, GA 31602-2576 |
| Second Address | Valdosta, GA 31602-2576 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00701027C | (05) | GA |
| 00701027G | (05) | GA |
| F75736 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.