Individual
STEVEN JOSEPH TILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1814 WESTCHESTER DRIVE, SUITE 300, HIGH POINT, NC 27262-4820
(336) 802-2055
(336) 802-2056
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212660025
DME
NC
01
—
480031936
RR MEDICARE
NC
05
—
890803V
—
NC
05
—
890816C
—
NC
Enumeration date
05/22/2006
Last updated
07/06/2009
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