Individual
MR. ANTHONY L TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
425 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5807
(865) 980-5260
(865) 980-5261
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000828
TN
363AS0400X
Surgical Physician Assistant
PA0828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530290
—
TN
Enumeration date
04/20/2006
Last updated
11/03/2025
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