Henry Young Tillman III, D.D.S.

NPI #1154690337 in Hahira, Georgia

Provider Information

NPI Number
1154690337
Entity Type
Individual
Name
Henry Young Tillman III, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 18, 2011
Last Updated
Dec 18, 2011

Practice Location

Address
950 HWY 122 W
City
Hahira
State
Georgia
ZIP Code
31632-1061
Phone
(229) 794-3003

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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