Individual
DR. JAMES H TILLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1860 E THREE NOTCH ST, ANDALUSIA, AL 36421-2404
(334) 222-2020
Mailing address
PO BOX 1517, ANDALUSIA, AL 36420-1226
(334) 222-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S620TA088
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531187
BCBS PROVIDER ID
AL
Enumeration date
11/28/2006
Last updated
07/08/2007
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