Individual
MR. JAMES ALLEN TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
71207 HIGHWAY 21, COVINGTON, LA 70433-7121
(985) 892-6811
Mailing address
71207 HIGHWAY 21, COVINGTON, LA 70433-7121
(985) 892-6811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1684
LA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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