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Tillman Medical Group Pa
Specialist in Vidalia, Louisiana
NPI 1043260615

Tillman Medical Group Pa is a Specialist based in Vidalia, LA. Tillman Medical Group Pa practices in Vidalia, LA. The NPI Number for Tillman Medical Group Pa is 1043260615 and holds a License No. 5D595 (Louisiana).

The current practice location address for Tillman Medical Group Pa is 107 Front St, Vidalia, LA and can be reached out via phone at 318-336-2216.

Location: 107 Front St, Vidalia, LA, 71373-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043260615
Provider Name
Tillman Medical Group Pa
Credential
Provider Entity Type
Organization
Address
107 Front St, Vidalia, LA, 71373-2836
Phone Number
318-336-2216
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
107 Front St
City
Vidalia
State
Louisiana
Zip
71373-2836
Phone Number
318-336-2216
Fax Number
person
Provider Business Mailing Address Details
Address
107 Front St
City
Vidalia
State
Louisiana
Zip
71373-2836
Phone Number
318-336-2216
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5D595 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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