Individual provider · Type 1 NPI
Charles H. Tillman Jr., MD
Cardiovascular Disease Physician · Mexico, MO
NPI number
1891781225
Active
Practice location
720 Medical Park Dr
Mexico, MO 65265-3726
Fax (573) 581-7493
Mailing address
201 E Monroe St
Mexico, MO 65265-2852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 36412 (MO) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Another provider at this address
About NPI 1891781225
Charles H. Tillman Jr., MD's National Provider Identifier is 1891781225, issued on Sep 21, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Mexico, MO. The record was last updated on Jul 28, 2023.