Individual
MR. EDWARD CARL TILLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5932
(252) 847-7552
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5932
(252) 847-7552
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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