EDWARD TILLMAN

GUNTERSVILLE, AL
NPI1932210226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- EDWARD TILLMAN M.R.E.
22165 US HIGHWAY 431
GUNTERSVILLE, AL 35976-8994
Phone number: 256-582-4465
Mailing Address
-- EDWARD TILLMAN M.R.E.
1035 LAKE VIEW LN NW
ARAB, AL 35016-4552
Phone number: 256-931-4809