Tillman, Keyonna
Tillman, Keyonna is an individual health care provider with primary practice located at 1023 Crestmark Blvd , Lithia Springs GA 30122-2645. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tillman, Keyonna can be contacted via phone (470) 234-7612.Contact Information
Primary practice address
1023 Crestmark Blvd
Lithia Springs GA 30122-2645
Phone: (470) 234-7612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1407281165 |
|---|---|
| LBN Legal business name | Tillman, Keyonna |
| Credentials | Clinical Dietitian (CD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Sep 12th, 2013 - 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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