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Dr. Clifford Randolph Tillman
Gastroenterology Physician in Vidalia, Louisiana
NPI 1053309732

Clifford Randolph Tillman is a Gastroenterology Physician based in Vidalia, LA and is specialized in Gastroenterology. Clifford Randolph Tillman practices in Vidalia, LA. The NPI Number for Clifford Randolph Tillman is 1053309732 and holds a License No. 06980R (Louisiana).

The current practice location address for Clifford Randolph Tillman is 107 Front St, Vidalia, LA and can be reached out via phone at 318-336-2216 and via fax at 318-336-6074.

Location: 107 Front St, Vidalia, LA, 71373-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053309732
Provider Name
Clifford Randolph Tillman
Credential
Provider Entity Type
Individual
Gender
Male
Address
107 Front St, Vidalia, LA, 71373-2836
Phone Number
318-336-2216
Fax Number
318-336-6074
Provider Enumeration Date
10/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0115585 05 MS
1316521 05 LA
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
318-336-6074
person
Provider Business Mailing Address Details
Address
107 Front St
City
Vidalia
State
Louisiana
Zip
71373-2836
Phone Number
318-336-2216
Fax Number
318-336-6074
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
06980R (Louisiana)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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