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1962597385
OTIS EDWARD TILLMAN
COLUMBUS, GA
NPI
1962597385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA 040576)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. OTIS EDWARD TILLMAN M.D.
1942 NORTH AVENUE
COLUMBUS, GA 31901
Phone number: 706-596-1245
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Mailing Address
Dr. OTIS EDWARD TILLMAN M.D.
1942 NORTH AVENUE
COLUMBUS, GA 31901
Phone number: 706-596-1245
Copy
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