Individual
MARISSA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WASHINGTON ST SE, GAINESVILLE, GA 30501-3628
(770) 534-6299
Mailing address
500 WASHINGTON ST SE, GAINESVILLE, GA 30501-3628
(770) 534-6299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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