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Tillman Medical Group Pa
Specialist in Jonesville, Louisiana
NPI 1922124312

Tillman Medical Group Pa is a Specialist based in Jonesville, LA. Tillman Medical Group Pa practices in Jonesville, LA. The NPI Number for Tillman Medical Group Pa is 1922124312 and holds a License No. 07480R (Louisiana).

The current practice location address for Tillman Medical Group Pa is 800 Audubon Dr, Jonesville, LA and can be reached out via phone at 318-339-4112 and via fax at 318-339-6388.

Location: 800 Audubon Dr, Jonesville, LA, 71343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922124312
Provider Name
Tillman Medical Group Pa
Credential
Provider Entity Type
Organization
Address
800 Audubon Dr, Jonesville, LA, 71343
Phone Number
318-339-4112
Fax Number
318-339-6388
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447498 05 LA
institution
Provider Business Practice Location Address Details
Address
800 Audubon Dr
City
Jonesville
State
Louisiana
Zip
71343
Phone Number
318-339-4112
Fax Number
318-339-6388
person
Provider Business Mailing Address Details
Address
800 Audubon Dr
City
Jonesville
State
Louisiana
Zip
71343
Phone Number
318-339-4112
Fax Number
318-339-6388
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
07480R (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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