Tillem, Katherine
Tillem, Katherine is an sole proprietor health care provider with primary practice located at 8901 Stonebridge Blvd Ste 200 , Douglasville GA 30134-2254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tillem, Katherine can be contacted via phone (943) 202-7120.Contact Information
Primary practice address
8901 Stonebridge Blvd Ste 200
Douglasville GA 30134-2254
Phone: (943) 202-7120
Fax: (470) 986-7087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9345 | Georgia |
Profile Details
| NPI number | 1780239889 |
|---|---|
| LBN Legal business name | Tillem, Katherine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2019 |
| Last updated | May 17th, 2024 - about 2 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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