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Contact Information

JAMES B TILLEY, MD
495 HOGAN RD, STE 1
CONWAY, AR72034
 Phone: 501-327-1150
 Fax: 501-327-3427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JAMES B TILLEY · (Male)

NPI Number 1932178332
Status Active
Credentials MD
Entity Individual
Enumeration date 03/16/2006
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-2822
  • AR Medicaid 146509001
Hospital affiliation(s)
  • CONWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2302 COLLEGE AVENUE
    CONWAY, AR 72034
  • ST VINCENT MORRILTON - (Critical Access)
    #4 HOSPITAL DRIVE
    MORRILTON, AR 72110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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