DR. JERRY TIDWELL, OD
Optometrist
Active
Individual
NPI: 1013986603
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | OD0000000818 (TN) |
Frequently Asked Questions
NPI 1013986603 is the National Provider Identifier for DR. JERRY TIDWELL, OD, a Optometrist provider located in Dickson, TN. This NPI was enumerated on March 16, 2006.
DR. JERRY TIDWELL, OD practices at 610 HENSLEE DR, Dickson, TN 37055.
Quick Facts
- NPI
- 1013986603
- Type
- Individual
- Enumerated
- Mar 16, 2006
- Last Updated
- Jul 8, 2007
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