Individual
ROBERT J TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 ACADEMY AVENUE, GREENWOOD, SC 29646
(864) 725-4865
(864) 725-4883
Mailing address
155 ACADEMY AVENUE, GREENWOOD, SC 29646
(864) 725-4865
(864) 725-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18462
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L22312
—
SC
Enumeration date
07/16/2006
Last updated
12/28/2021
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