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

Individual provider Specialist · NPI 1083770655

John Martin Tilley, OTRL is a Specialist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

801 Bolling Cv
Lawrenceville, GA 30045-2430
Phone: (678) 442-8109
Fax: (678) 442-5995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT002798 (GA)

Record details

NPI number1083770655
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 9, 2007

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