NPI 1700227246

Tillman Blake Hardigree, CST

Practitioner Surgical Technologist Duluth, GA

Practice location

Address: 3855 Pleasant Hill Rd STE 470, Duluth, GA 30096-1417
Phone: (770) 813-8888
Mailing address: 602 Warren Way, Winder, GA 30680

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 078608 (GA)

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1700227246
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2013
Record last updated: 12 Jul 2013

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.