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Search › Louisiana › 207RG0100X

Clifford Tillman

NPI 1053309732 · on the registry since 2005

Practice

Address
107 Front St
Suite 2126
Vidalia, LA 71373
Phone
(318) 336-2216
Fax
(318) 336-6074
Organisation at this address
River Park Asc Llc
Vicksburg Clinic Llc
Royal Surgery Center
J H Fairbanks Md Pllc
Tillman Medical Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana