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1285746941
COURTENAY L TILLMAN
STATESBORO, GA
NPI
1285746941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN 159370NP)
Enumeration Date
2006-08-31
Last Update Date
2015-09-01
Business Address
-- COURTENAY L TILLMAN FNP-BC
586 BRANNEN ST
STATESBORO, GA 30458-5557
Phone number: 912-871-6611
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Mailing Address
-- COURTENAY L TILLMAN FNP-BC
586 BRANNEN ST
STATESBORO, GA 30458-5557
Phone number: 912-871-6611
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