Individual
MISS MATTIE TILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11935 ABERCORN ST, SAVANNAH, GA 31419-1918
(912) 344-2576
Mailing address
77 S CROMWELL RD, SAVANNAH, GA 31410-4306
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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