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NPI Code Detail

MEDICARE: DANIEL TULMAN OD

MEDICARE: DANIEL TULMAN OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist814TGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122-30015OTHERGAUNITED HEALTHCARE
20850951OTHERGACIGNA
3117843OTHERGAEYEMED
4497513OTHERGAAETNA
5100700OTHERGAAVESIS
688250OTHERGASPECTERA

General Provider Information

NPI Number : 1508954611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL TULMAN OD
Provider Business Mailing Address
First Line : 880 CRESTMARK DR STE 101
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-2646
Country : US
Telephone Number : 770-948-0036
Fax Number : 770-948-0090
Provider Business Practice Location Address
First Line : 880 CRESTMARK DR STE 101
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-2646
Country : US
Telephone Number : 770-948-0036
Fax Number : 770-948-0090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 02/19/2008

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Directions to “ DANIEL TULMAN OD” Practice Location

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