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Organization
RTBT
Active
Organization
RTBT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALLEN TILLITZ II (OWNER/CEO)
(803) 254-2800
Entity
Organization
Contact information
Practice address
1701 DEVONSHIRE DR, COLUMBIA, SC 29204-2446
(803) 254-2800
Mailing address
1701 DEVONSHIRE DR STE 101, COLUMBIA, SC 29204-2446
(803) 254-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
01/09/2026
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