Henry Young Tillman Iii, DDS is a
Dentist - General Practice based in Hahira, Georgia. Henry Young Tillman Iii is licensed to practice in Georgia (license number DN006926) and his current practice location is
950 Hwy 122 W, Hahira, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 794-3003.
NPI number for Henry Young Tillman Iii is 1154690337 and his current mailing address is Po Box 554, Hahira, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154690337.
Healthcare Provider's Profile
| Full Name | Henry Young Tillman Iii |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 950 Hwy 122 W, Hahira, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154690337
- Provider Enumeration Date: 12/18/2011
- Last Update Date: 12/18/2011
Medical Identifiers
Medical identifiers for Henry Young Tillman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154690337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN006926 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Henry Young Tillman Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Henry Young Tillman Iii, DDS
Po Box 554,
Hahira, GA 31632-0554
Ph: (229) 251-0099 | Henry Young Tillman Iii, DDS
950 Hwy 122 W,
Hahira, GA 31632-1061
Ph: (229) 794-3003 |
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