Individual provider · Type 1 NPI

Michael Andrew Tillery, PA-C

Medical Physician Assistant · Greensboro, NC

NPI number 1558725580 Active

Practice location

1126 N Church St Ste 300
Greensboro, NC 27401-1037

Mailing address

1200 N Elm St, Advanced Heart Failure Clinic
Greensboro, NC 27401-1004

Other practice locations

  • 1200 N Elm St, Advanced Heart Failure Clinic, Greensboro, NC 27401-1004 · (336) 862-9292

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-06349 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1558725580

Michael Andrew Tillery, PA-C's National Provider Identifier is 1558725580, issued on Apr 6, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greensboro, NC. The record was last updated on Aug 25, 2021.