Individual
MR. JOHN BANKS TILMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10374 HIGHWAY 165 N STE B, STERLINGTON, LA 71280-3320
(318) 665-4543
Mailing address
1315 STUBBS VINSON RD, MONROE, LA 71203-8553
(318) 343-2483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10255RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625094
—
LA
Enumeration date
06/23/2006
Last updated
08/18/2025
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