Individual provider · Type 1 NPI

Corah L. Tillerson, PA

Medical Physician Assistant · Fishersville, VA

NPI number 1508551458 Active

Practice location

57 Beam Ln Ste 300
Fishersville, VA 22939-2350

Call (434) 297-9999 Map

Fax (434) 297-9898

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-2582 · (434) 924-9333

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003X0110009563 (VA)
Medical Physician Assistant Primary 363AM0700X0110009563 (VA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1508551458

Corah L. Tillerson, PA's National Provider Identifier is 1508551458, issued on Apr 6, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fishersville, VA. The record was last updated on Feb 3, 2025.