Organization
ALAMO FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD C TILLMAN M.D. (MD OWNER)
(731) 696-5551
Entity
Organization
Contact information
Practice address
157 N BELLS ST, ALAMO, TN 38001-1767
(731) 696-5551
(731) 696-2802
Mailing address
157 NORTH BELLS STREET, ALAMO, TN 38001
(731) 696-5551
(731) 696-2802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4576973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728156
—
TN
Enumeration date
12/15/2006
Last updated
08/22/2020
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