Clifford R Tillman (NPI# 1053309732, PAC ID# 9830084060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053309732 |
| PAC ID by PECOS | 9830084060 |
| Professional Enrollment ID | I20040217000951 |
| Full Name | Clifford R Tillman |
| Address |
107 Front St Vidalia LA 71373-2836 |
| Phone Number | 3183362216 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191315 | HARDTNER MEDICAL CENTER |
| 251324 | WALTHALL COUNTY GENERAL HOSPITAL CAH |
| 191318 | RIVERLAND MEDICAL CENTER |
| 190140 | FRANKLIN MEDICAL CENTER |
| 250084 | MERIT HEALTH NATCHEZ |
| Address | Phone | Organization |
|---|---|---|
| 800 Audubon Dr, Jonesville, LA 71343-2432 | 3183394112 | TILLMAN MEDICAL GROUP PA |
| 129 Jefferson Davis Blvd, Natchez, MS 39120-5100 | 6014456200 | |
| 1102 N Pine Rd, Olla, LA 71465-4804 | 3184953131 | LASALLE PARISH HOSPITAL SERVICE DISTRICT 1 |
| 1102 N Pine Rd, Hardtner Medical, Olla, LA 71465-4804 | 3184953131 | LASALLE PARISH HOSPITAL SERVICE DISTRICT 1 |
| 107 Front St, Vidalia, LA 71373-2836 | 3183362216 |
| Street Address |
107 FRONT ST |
| City | VIDALIA |
| State | LA |
| Zip | 71373-2836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Ferguson | Certified Registered Nurse Anesthetist (crna) | Riverside Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Delure B Pritchard | Certified Registered Nurse Anesthetist (crna) | Sayer and Soileau Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Barry Tillman | Internal Medicine | 107 Front St, Vidalia, LA 71373-2834 | |
| Jordan Paul Sayer | Certified Registered Nurse Anesthetist (crna) | Sayer and Soileau Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Lloyd Douglas Smith | Ophthalmology | Eye Center of Natchez, Inc | 107 Front St, Vidalia, LA 71373-2836 |
| John H Fairbanks Jr. | Orthopedic Surgery | 107 Front St, Suite 2138, Vidalia, LA 71373-2836 | |
| Robbie J Soileau | Certified Registered Nurse Anesthetist (crna) | Sayer and Soileau Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Mark W Gremillion | Certified Registered Nurse Anesthetist (crna) | Sayer and Soileau Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Michael R Wimberly Ii | Physical Therapy | J H Fairbanks, Md Pllc | 107 Front St, Vidalia, LA 71373-2836 |
| Janet Sayer | Certified Registered Nurse Anesthetist (crna) | Sayer and Soileau Anesthesia LLC | 107 Front St, Vidalia, LA 71373-2836 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Smith | Nurse Practitioner | Wound Care Associates LLC | 107 Front St, Suite 1207, Vidalia, LA 71373-2834 |
| Charlene D Smith | Audiologist | 107 Front St, Vidalia, LA 71373-2835 | |
| Lisa D. Cazalot | Nurse Practitioner | 107 Front St, Vidalia, LA 71373-2836 | |
| Charla W Knapp | Nurse Practitioner | Tillman Medical Group Pa | 107 Front St, Vidalia, LA 71373-2836 |
| Christopher L Martin | Emergency Medicine | Natchez Clinic Company LLC | 207 Front St, Vidalia, LA 71373-2837 |
| Ibrahim Seki | Internal Medicine | 1812 Carter St, Vidalia, LA 71373-3115 | |
| Melissa C Johnson | Nurse Practitioner | Living Well Family Clinic, LLC | 1643 Carter St, Suite 1, Vidalia, LA 71373-3157 |
| Monty R Warshaw | Chiropractic | 1109 Carter St, Suite 6, Vidalia, LA 71373-3227 | |
| Carole Buckles | Psychiatry | 1109 Carter St, Vidalia, LA 71373-3227 | |
| Rebecca Arthur Foster | Physician Assistant | J Kevin Ingram Medical, Inc | 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 |
| Find all physicians in zip 71373 | |||
| City | VIDALIA |
| Zip Code | 71373 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VIDALIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Clifford R Tillman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.