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NPI Code Detail

MEDICARE: TRESSY HILTON M.ED.,PP,CSI

MEDICARE:   TRESSY  HILTON  M.ED.,PP,CSI
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
1171W00000XContractor

General Provider Information

NPI Number : 1265990246
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRESSY HILTON M.ED.,PP,CSI
Provider Business Mailing Address
First Line : 1615 12TH ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2937
Country : US
Telephone Number : 762-822-0023
Fax Number :
Provider Business Practice Location Address
First Line : 1615 12TH ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2937
Country : US
Telephone Number : 762-822-0023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2019
Last Update Date : 03/08/2019

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Directions to “ TRESSY HILTON M.ED.,PP,CSI” Practice Location

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