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Individual

HUGH TILLMAN JAMES SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E WOOD ST, SUITE 301, SPARTANBURG, SC 29303-3004
(864) 560-7070
(864) 560-7073
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15633
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156334
SC
01
4582732
AETNA
SC
05
5905331
NC
01
69359
MEDCOST
SC
01
F786277628
MEDICARE PIN
SC
Enumeration date
04/13/2006
Last updated
03/20/2023
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