Tillman Medical Group PA
Tillman Medical Group PA provides Specialist services in Vidalia, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 Frnt STVidalia, LA 71373-2836 Not confirmed with CMS for 13 years — call before visiting
Phone: (318) 336-2216
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 5D595 (LA) |
|---|
Record details
| NPI number | 1043260615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tana Archer — Accounts Manager · (318) 336-2216 |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | June 4, 2013 |
| Mailing address | 107 Front St, Vidalia, LA 71373-2836 |