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Ricky Tillman
NPI 1205222312 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9111 Cross Park Dr
Suite D200
Knoxville, TN 37923 - Phone
- (919) 394-4169
- Organisation at this address
- Optigen Inc
Tox Crew Inc
Medicall, Llc
Youth Villages
Youth VillagesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-15
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 Tennessee