Jessica Lynn Tumolillo, AUD | |
5356 Reynolds St Ste 505, Savannah, GA 31405-6017 | |
(912) 356-1515 | |
(912) 644-0756 |
Full Name | Jessica Lynn Tumolillo |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 5356 Reynolds St Ste 505, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922538669 | NPI | - | NPPES |
AUD004088 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 81122 (Texas) | Secondary |
231H00000X | Audiologist | AUD004088 (Georgia) | Primary |
Provider Name | Candler Ent Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477969749 PECOS PAC ID: 7214157742 Enrollment ID: O20141006001604 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lynn Tumolillo, AUD 5356 Reynolds St Ste 505, Savannah, GA 31405-6017 Ph: (912) 356-1515 | Jessica Lynn Tumolillo, AUD 5356 Reynolds St Ste 505, Savannah, GA 31405-6017 Ph: (912) 356-1515 |
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Mrs. Mary Holcombe Mcgowan, M.S. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5356 Reynolds St, Suite 505, Savannah, GA 31405 Phone: 912-644-5300 Fax: 912-644-5260 |