Individual
MARISSA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
156 FOSTER DR STE B, MCDONOUGH, GA 30253-5346
(770) 506-4119
(770) 506-4145
Mailing address
156 FOSTER DR STE B, MCDONOUGH, GA 30253-5346
(770) 506-4119
(770) 506-4145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14225
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
07/15/2026
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