Tillman, Connie Kendall

Tillman, Connie Kendall is an sole proprietor health care provider with primary practice located at 703 E. 9Th St. Building 4970 , Fort Stewart GA 31314. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Tillman, Connie Kendall can be contacted via phone (912) 435-1384.

Contact Information

Primary practice address
703 E. 9Th St. Building 4970 Fort Stewart GA 31314
Phone: (912) 435-1384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN091881 Georgia
Nursing Service Providers / Case Management 163WC0400X RN091881 Georgia

Profile Details

NPI number 1144623596
LBN Legal business name Tillman, Connie Kendall
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2014
Last updated Sep 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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