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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TILLMAN MEDICAL GROUP PA

Active Organization

TILLMAN MEDICAL GROUP PA is a Specialist organization located in VIDALIA, Louisiana. NPI 1043260615 is currently active in the NPPES registry. Verify at CMS.

Specialist · VIDALIA, LA

Registration Details

NPI Number
1043260615
Provider Type
Organization
NPI Issued
May 12, 2006 (20.295992239012 yrs)
Last Updated
Jun 4, 2013
License
5D595 (LA)

Practice Information

Address
107 FRONT ST
VIDALIA, LA, 713732836
Browse LA providers · Browse ZIP 71373
Phone
3183362216
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.