National Provider Identifier Database

EDWARD C TILLLEY, C.O. – NPI #1104059617
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

EDWARD C TILLLEY, C.O.
2100 STANTONSBURG RD
GREENVILLE, NC27834-2818
Phone: 252-847-5932
Fax: 252-847-7552
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for EDWARD C TILLLEY

NPI Number 1104059617
Credentials C.O.
Entity Individual
Enumeration date 08/31/2009
Last updated 08/31/2009 - About 17 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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