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NPI Code Detail

MEDICARE: DR. AMY PRESSLEY TILLMAN PHARMD

MEDICARE: DR. AMY PRESSLEY TILLMAN PHARMD
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
1183500000XPharmacist030245GA

General Provider Information

NPI Number : 1285143800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY PRESSLEY TILLMAN PHARMD
Provider Business Mailing Address
First Line : 58 HASTY POINT RD
Second Line :
City : PORT WENTWORTH
State : GA
Zip : 31407-6070
Country : US
Telephone Number : 706-491-9744
Fax Number :
Provider Business Practice Location Address
First Line : 5701 OGEECHEE RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-9505
Country : US
Telephone Number : 912-232-8512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

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