NPI 1104059617

Edward Carl Tillley, CO

Practitioner Other Specialist/Technologist Greenville, NC

Practice location

Address: 2100 Stantonsburg Rd, Greenville, NC 27834-2818
Phone: (252) 847-5932
Fax: (252) 847-7552

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in North Carolina →

Registry record

NPI: 1104059617
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2009
Record last updated: 31 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.