Dr. Clifford Randolph Tillman
Dr. Clifford Randolph Tillman is a Gastroenterology in Vidalia, Louisiana. Graduated from Vanderbilt University School of Medicine in 1976, 50 years ago. Practices with Lasalle Parish Hospital Service Dist NO1, a 22-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 50
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- LA
- In the registry since
- 2005
Practice location Address checks out
107 Frnt ST Ste 2126Vidalia, LA 71373-2836
Phone: (318) 336-2216
Fax: (318) 336-6074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 06980R (LA) |
|---|
Record details
| NPI number | 1053309732 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 7, 2005 |
| Last updated in NPPES | July 25, 2008 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1976 (50 years in practice) |
| Group practice | Lasalle Parish Hospital Service Dist No1 — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |