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NPI Code Detail

MEDICARE: DR. CAROLINA TILLOTSON D.C.

MEDICARE: DR. CAROLINA TILLOTSON D.C.
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
1103K00000XBehavior Analyst
2111N00000XChiropractorCHIRO10208GA

General Provider Information

NPI Number : 1760743298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINA TILLOTSON D.C.
Provider Business Mailing Address
First Line : 3188 BEES CREEK RD
Second Line :
City : RIDGELAND
State : SC
Zip : 29936-6526
Country : US
Telephone Number : 843-717-2207
Fax Number :
Provider Business Practice Location Address
First Line : 3500 LENOX RD NE STE 1500
Second Line :
City : ATLANTA
State : GA
Zip : 30326-4231
Country : US
Telephone Number : 843-305-9619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 07/22/2019

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Directions to “ DR. CAROLINA TILLOTSON D.C.” Practice Location

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