Individual
MS. SUZANNE M TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3555 HARDEN STREET EXT, SUITE 203, COLUMBIA, SC 29203-6894
(803) 434-4421
(803) 434-3773
Mailing address
3555 HARDEN STREET EXT, SUITE 203, COLUMBIA, SC 29203-6894
(803) 434-4421
(803) 434-3773
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
38692
SC
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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