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Individual

DR. DONNA WAY TILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
811 NORTHGATE BLVD, VA HEALTH CARE CENTER, NEW ALBANY, IN 47150-6419
(502) 287-4100
(812) 941-0963
Mailing address
4026 ORMOND RD, LOUISVILLE, KY 40207-2036
(502) 897-6882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24124
KY

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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