Individual provider · Type 1 NPI

Edward Carl Tillley, C.O.

Other Specialist/Technologist · Greenville, NC

NPI number 1104059617 Active

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Call (252) 847-5932 Map

Fax (252) 847-7552

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

1,111 other providers at this address

About NPI 1104059617

Edward Carl Tillley, C.O.'s National Provider Identifier is 1104059617, issued on Aug 31, 2009. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Greenville, NC. The record was last updated on Aug 31, 2009.