Individual
TIFFANY MATOSKA SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401
(910) 762-3882
Mailing address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401-7354
(910) 762-3882
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2013-01827
NC
Other
Enumeration date
03/22/2012
Last updated
06/20/2024
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