Otis Edward Tillman in Columbus - Specialist
Otis Edward Tillman - NPI 1962597385
Otis Edward Tillman is a Specialist in Columbus, Georgia. Otis Edward Tillman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Otis Edward Tillman is 1962597385. The last update date is 2007-07-08.
Otis Edward Tillman's current location address is 1942 North Avenue, Columbus, Georgia. You can contact this provider via phone number 7065961245 and fax number 7065764245. The mailing address for Otis Edward Tillman is 1942 North Avenue, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Edward Tillman |
|---|---|
| Address | 1942 North Avenue, Columbus, Georgia |
| Phone Number | 7065961245 |
| Fax Number | 7065764245 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962597385 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1942 North Avenue |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 31901 |
| Phone Number | 7065961245 |
| Fax Number | 7065764245 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 40576 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 224251 | GA | BCBS OF GEORGIA | |
| 60027547 | AL | BCBS OF ALABAMA | |
| 00669127C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Otis Edward Tillman by the Centers for Medicare & Medicaid Services?
The Otis Edward Tillman has been assigned the NPI (National Provider Identifier) 1962597385. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Otis Edward Tillman is located?
The Otis Edward Tillman is situated at the following address: 1942 North Avenue, Columbus, GA, 31901.
What is Otis Edward Tillman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Otis Edward Tillman is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Otis Edward Tillman's 1962597385 issued?
The Otis Edward Tillman's 1962597385 was issued on 2006-10-03.
As of what date were the Otis Edward Tillman's details last updated?
The information pertaining to the Otis Edward Tillman, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
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