Tidwell, Rex Wallace
Tidwell, Rex Wallace is an sole proprietor health care provider with primary practice located at 1601 Watson Blvd. Houston Medical Center, Warner Robins GA 31093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tidwell, Rex Wallace can be contacted via phone (478) 542-7996.Contact Information
Primary practice address
1601 Watson Blvd. Houston Medical Center
Warner Robins GA 31093
Phone: (478) 542-7996
Fax: (478) 542-7943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 010300 | Georgia |
Profile Details
| NPI number | 1205902749 |
|---|---|
| LBN Legal business name | Tidwell, Rex Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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