Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY TILLMAN
Active Sole ProprietorRICKY TILLMAN is a Community/Behavioral Health healthcare provider located in KNOXVILLE, Tennessee. NPI 1205222312 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · KNOXVILLE, TN
Registration Details
- NPI Number
- 1205222312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2015 (11.364035340341 yrs)
- Last Updated
- Apr 15, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
9111 CROSS PARK DRSUITE D200KNOXVILLE, TN, 379234506Browse TN providers · Browse ZIP 37923
- Phone
- 9193944169
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.