Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Gary Tillman

Individual provider Surgical Technologist · NPI 1568722700

Jacob Gary Tillman is a Surgical Technologist in Brentwood, Tennessee. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

103 Continental Pl Ste 405
Brentwood, TN 37027-1041
Phone: (877) 977-4630
Fax: (888) 242-7469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1568722700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESMay 22, 2012

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