Individual
EDWARD G LILLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FLEMING ST, HENDERSONVILLE, NC 28791-3528
(828) 698-4318
(828) 698-4322
Mailing address
129 MCDOWELL ST, ASHEVILLE, NC 28801-4434
(828) 258-8800
(828) 281-7178
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20000523
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
200000523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126X6
BCBS
NC
05
—
89126X6
—
NC
Enumeration date
06/07/2006
Last updated
05/31/2019
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