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GEORGE G. TISDALE, M.D.
NPI 1073659173
Dermatology - MOHS-Micrographic Surgery in Selma, AL

Active since January 29, 2007

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About George G. Tisdale, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE G. TISDALE, M.D. (NPI 1073659173) is a healthcare organization registered as a mohs-micrographic surgery in Selma, Alabama and active in the NPI registry since January 2007. The organization lists George G. Tisdale, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1073659173
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameGEORGE G. TISDALE, M.D.
Location Address217 BROAD STSelma, AL 36701-4589
Mailing Address217 Broad StSelma, AL 36701-4589 · (334) 875-5000
Phone(334) 875-5000
Organization SubpartNo
Authorized OfficialGeorge G. TisdaleMedical Doctor · (334) 875-5000
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073659173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in AL · 8522
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
217 BROAD ST, Selma, AL 36701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROLOGY CONSULTANTS OF CENTRAL ALABAMA
Specialist
217 BROAD ST
SELMA, AL 36701
Dallas County (334) 872-8627
DR. WALID WAJIH FREIJ M.D.
Psychiatry & Neurology (Sleep Medicine)
217 BROAD ST
SELMA, AL 36701
Dallas County (334) 872-8627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George G. Tisdale, M.D.'s NPI number?

The NPI number for George G. Tisdale, M.D. is 1073659173. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is George G. Tisdale, M.D. located?

George G. Tisdale, M.D. is located at 217 Broad St, Selma, AL 36701. The listed phone number is (334) 875-5000.

What is George G. Tisdale, M.D.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for George G. Tisdale, M.D. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.