Individual
DR. VIJAY THILLAINATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JIM MASON CT, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Mailing address
100 JIM MASON CT, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
067446
GA
208600000X
Surgery Physician
AS385293924
MD
Other
Enumeration date
05/07/2007
Last updated
08/27/2012
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