Individual provider · Type 1 NPI

Collette Maria Tilly, MD

Student in an Organized Health Care Education/Training Program · Chapel Hill, NC

NPI number 1255969960 Active

Practice location

101 Manning Drive
Chapel Hill, NC 27599-3500

Call (919) 962-3624 Map

Fax (501) 364-4082

Mailing address

030 Macnider Hall Campus Box 7231, 333 South Columbia Street
Chapel Hill, NC 27599

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XE-17847 (AR)
Pediatrics Physician 208000000XE-17847 (AR)
Student in an Organized Health Care Education/Training Program Primary 390200000X2025-01613 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255969960

Collette Maria Tilly, MD's National Provider Identifier is 1255969960, issued on Mar 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chapel Hill, NC. The record was last updated on Jun 27, 2025.