Search › Georgia › 363LF0000X
Kelly Tillman
NPI 1518337278 · on the registry since 2015 · sole proprietor
Practice
- Address
- 23702 Hwy 80 E
Statesboro, GA 30461 - Phone
- (912) 489-4090
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-27
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 Georgia