Individual
KATHERINA YANNUE TILLAN-HSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, SUITE 320, FLORENCE, SC 29505-6019
(843) 629-2605
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29747
SC
208M00000X
Hospitalist Physician
29747
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297477
—
SC
Enumeration date
05/25/2006
Last updated
03/24/2021
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