person
Courtenay L Tillman, FNP-BC
Family Nurse Practitioner in Statesboro, Georgia
NPI 1285746941

Courtenay L Tillman is a Family Nurse Practitioner based in Statesboro, GA and is specialized in Family. Courtenay L Tillman practices in Statesboro, GA and has the professional credentials of FNP-BC. The NPI Number for Courtenay L Tillman is 1285746941 and holds a License No. RN 159370NP (Georgia).

The current practice location address for Courtenay L Tillman is 586 Brannen St, Statesboro, GA and can be reached out via phone at 912-871-6611 and via fax at 912-871-6612.

Location: 586 Brannen St, Statesboro, GA, 30458-5557
person
Provider Profile Details
NPI Number
1285746941
Provider Name
Courtenay L Tillman
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
586 Brannen St, Statesboro, GA, 30458-5557
Phone Number
912-871-6611
Fax Number
912-871-6612
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
901106018A 05 GA
P00351681 01 GA RAILROAD MEDICARE
061407 01 GA BC/BS OF GA GROUP #
institution
Provider Business Practice Location Address Details
Address
586 Brannen St
City
State
Zip
30458-5557
Phone Number
912-871-6611
Fax Number
912-871-6612
person
Provider Business Mailing Address Details
Address
586 Brannen St
City
State
Zip
30458-5557
Phone Number
912-871-6611
Fax Number
912-871-6612
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN 159370NP (Georgia)
Definition
Definition to come...
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