Individual
JOHN E TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 E WATAUGA AVE, JOHNSON CITY, TN 37601-4037
(423) 926-4867
Mailing address
400 E WATAUGA AVE, JOHNSON CITY, TN 37601-4037
(423) 926-4867
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS 3236
TN
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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