Patrice Vivien Tillman in Lawrenceville - Psychiatric/mental Health, Adult
Patrice Vivien Tillman - NPI 1992852123
Patrice Vivien Tillman is a Psychiatric/mental Health, Adult in Lawrenceville, Georgia. Patrice Vivien Tillman practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Patrice Vivien Tillman is 1992852123. The last update date is 2007-07-08.
Patrice Vivien Tillman's current location address is 175 Gwinnett Dr, Lawrenceville, Georgia. You can contact this provider via phone number 7703395000 and fax number 7708221698. The mailing address for Patrice Vivien Tillman is 175 Gwinnett Dr, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Vivien Tillman |
|---|---|
| Address | 175 Gwinnett Dr, Lawrenceville, Georgia |
| Phone Number | 7703395000 |
| Fax Number | 7708221698 |
| Sole Proprietor | Y |
| Credentials | RN,MSN |
NPI Number Detail
| NPI Number | 1992852123 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Gwinnett Dr |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300458444 |
| Phone Number | 7703395000 |
| Fax Number | 7708221698 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | RN058224 |
|
Definition: A psychiatric nurse who cares for adult patients. |
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Post Comment/ Review Below
What is the unique identification code assigned to Patrice Vivien Tillman by the Centers for Medicare & Medicaid Services?
The Patrice Vivien Tillman has been issued the NPI (National Provider Identifier) 1992852123. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Patrice Vivien Tillman is physically located?
The Patrice Vivien Tillman is physically situated at the following address: 175 Gwinnett Dr, Lawrenceville, GA, 300458444.
What is Patrice Vivien Tillman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patrice Vivien Tillman's area of specialization is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0809X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992852123 to Patrice Vivien Tillman?
The Patrice Vivien Tillman received its 1992852123 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date was the information pertaining to Patrice Vivien Tillman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Patrice Vivien Tillman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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