RICKY TILLMAN

Community/Behavioral Health

Active Individual
NPI: 1205222312

Practice Address

9111 CROSS PARK DR
SUITE D200
Knoxville, TN 37923

Phone: (919) 394-4169

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes -

Frequently Asked Questions

NPI 1205222312 is the National Provider Identifier for RICKY TILLMAN, a Community/Behavioral Health provider located in Knoxville, TN. This NPI was enumerated on April 15, 2015.
RICKY TILLMAN practices at 9111 CROSS PARK DR, SUITE D200, Knoxville, TN 37923.

Quick Facts

NPI
1205222312
Type
Individual
Enumerated
Apr 15, 2015
Last Updated
Apr 15, 2015

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