Individual
CARLIE TILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 BRAMPTON AVE, STATESBORO, GA 30458-0856
(912) 243-9299
Mailing address
PO BOX 487, STATESBORO, GA 30459-0487
(912) 243-9299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN216390
GA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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