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NPI Profile for EDWARD C TILLLEY in GREENVILLE, NC.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X |
| NPI Number | 1104059617 |
|
| Status | Active | |
| Credentials | C.O. | |
| Entity | Individual | |
| Enumeration date | 08/31/2009 | |
| Last updated | 08/31/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EDWARD C TILLLEY
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EDWARD C TILLLEY, C.O.