MR. EDWARD CARL TILLLEY C.O. NPI 1104059617

NPI Information

MR. Edward Carl Tillley, C.O. is a specialist technologist other in Greenville, NC. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. MR. Edward Carl Tillley, C.O. NPI is 1104059617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 STANTONSBURG RD
GREENVILLE, NC
ZIP 27834-818
Phone: (252) 847-5932
Fax: (252) 847-7552

The enumeration date for this NPI number is 8/31/2009 and was last updated on 8/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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