Individual
MR. PAUL BRICE TILMON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1046 ROBERT LN, BREAUX BRIDGE, LA 70517-7604
(337) 507-3940
Mailing address
1046 ROBERT LN, BREAUX BRIDGE, LA 70517-7604
(337) 507-3940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00305
LA
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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