Organization
UNITED HOSPITAL CENTER, INC.
Active
Other names
UHC Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TILLMAN (PRESIDENT/CEO)
(681) 342-1600
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
(681) 342-3695
Mailing address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
(681) 342-3695
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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