Individual
DOROTHY TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 HEADS AVE, AMERICUS, GA 31709-3616
(229) 942-5286
Mailing address
132 HEADS AVE, AMERICUS, GA 31709-3616
(229) 942-5286
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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