NPI 1073659173

George G. Tisdale, M.D.

Organisation MOHS-Micrographic Surgery Physician Selma, AL

Practice location

Address: 217 Broad St, Selma, AL 36701-4589
Phone: (334) 875-5000

Authorised official

Name: George G. Tisdale
Title: Medical Doctor
Phone: (334) 875-5000

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 8522 (AL)

Other Dermatology providers in Alabama →

Registry record

NPI: 1073659173
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.