Search › South Carolina › 103TS0200X
Jennifer Tillmann, PH.D
NPI 1548578925 · on the registry since 2010 · sole proprietor
Practice
- Address
- 107 Vista Oaks Dr
Suite C
Lexington, SC 29072 - Phone
- (803) 957-5856
- Fax
- (803) 957-5856
- Organisation at this address
- Carolina Developmental Clinic, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-19
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 South Carolina