Judith J. Tillman is a Family in Macon, Georgia. Judith J. Tillman practices all healthcare services and medical treatments related to Family. The NPI Number for Judith J. Tillman is 1396900163. The last update date is 2012-12-28.
Judith J. Tillman's current location address is 3708 Northside Dr, Macon, Georgia. You can contact this provider via phone number 4787454206 and fax number 4782545463. The mailing address for Judith J. Tillman is 3708 Northside Dr, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith J. Tillman |
|---|---|
| Address | 3708 Northside Dr, Macon, Georgia |
| Phone Number | 4787454206 |
| Fax Number | 4782545463 |
| Sole Proprietor | N |
| Credentials | RN, MSN, N |
NPI Number Detail
| NPI Number | 1396900163 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2012-12-28 |
Provider Mailing Address Detail
| Address | 3708 Northside Dr |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312102404 |
| Phone Number | 4787454206 |
| Fax Number | 4782545463 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN101937 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00865132 | GA | MEDICARE RAILROAD | |
| 791462333A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judith J. Tillman by the Centers for Medicare & Medicaid Services?
The Judith J. Tillman has been issued the NPI (National Provider Identifier) 1396900163 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Judith J. Tillman's physical address?
The Judith J. Tillman is physically located at 3708 Northside Dr, in the city of Macon, GA, with the postal code 312102404.
What is the Judith J. Tillman's area of specialization and corresponding taxonomy classification?
The Judith J. Tillman's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date was the 1396900163 assigned to Judith J. Tillman?
The Judith J. Tillman was issued its 1396900163 on 2008-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Judith J. Tillman most recently updated or refreshed?
The details pertaining to the Judith J. Tillman, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-28.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO