Individual provider · Type 1 NPI

Otis Edward Tillman Jr., MD

Specialist · Columbus, GA

NPI number 1962597385 Active

Practice location

1942 North Avenue
Columbus, GA 31901

Call (706) 596-1245 Map

Fax (706) 576-4245

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X040576 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962597385

Otis Edward Tillman Jr., MD's National Provider Identifier is 1962597385, issued on Oct 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.