Lookup NPI Numbers from the NPI Registry
NPI Profile for CORAH L TILLERSON in FISHERSVILLE, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI Number | 1508551458 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 04/06/2023 | |
| Last updated | 02/03/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CORAH L TILLERSON
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CORAH L TILLERSON, PA