| Doctor Name: | MR. JOHN BANKS TILMON |
| NPI Number: | 1619903721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | A10255RX |
| Business Practice Address: | 10374 Highway 165 N Ste B Sterlington, LA - 712803320 |
| Business Phone Number: | 3186654543 |
| Business Fax Number: | |
| Mailing Address: | 1315 Stubbs Vinson Rd, MONROE |
| State: | LA |
| Postal Code: | 712038553 |
| Phone Number: | 3183432483 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | A10255RX |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |