Phillip D Tidwell
Phillip D Tidwell is a Pulmonary Diagnostics Registered Respiratory Therapist in Dyersburg, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2010
Practice location Address checks out
2148 Aztec DrDyersburg, TN 38024-1841
Phone: (731) 589-6156
Fax: (615) 467-8971
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Specialties & licences
| Pulmonary Diagnostics Registered Respiratory Therapist (primary) | Taxonomy 2279P1004X · Licence RRT0000000395 (TN) |
|---|
Record details
| NPI number | 1659680114 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2010 |
| Last updated in NPPES | June 12, 2013 |
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Proactive MD, LLC
2148 Aztec Dr, Dyersburg, TN 38024-1841 · (731) 589-6156