Healthcare Provider Details
I. General information
NPI: 1538796354
Provider Name (Legal Business Name): PARKER TUMLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6602 WATERS AVE STE 100
SAVANNAH GA
31406-2758
US
IV. Provider business mailing address
6602 WATERS AVE STE 100
SAVANNAH GA
31406-2758
US
V. Phone/Fax
- Phone: 912-800-6010
- Fax:
- Phone: 912-800-6010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YS0123X |
| Taxonomy | Facial Plastic Surgery Physician |
| License Number | 111165 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: