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“Gastroenterology Physician” (Vidalia, LA)

Location: Vidalia, LA
Taxonomy: Gastroenterology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1053309732 — DR. CLIFFORD RANDOLPH TILLMAN
Practice Location Address:
107 FRONT ST SUITE 2126
VIDALIA LA
71373-2836
Practice Phone: 318-336-2216

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