NPI 1033983242
Carlos Lavay Tillman
Practice location
- Address
- 1107 Poppen Dr, Memphis, TN 38111-2929
- Phone
- (901) 538-1078
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1033983242
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Nov 2023
- Record last updated
- 8 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.