Individual
KATHERINE ELLISSA TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1931 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 236-6609
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5791
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101225370
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101340201
—
VA
01
—
P00208764
RAILROAD MEDICARE
—
Enumeration date
06/17/2006
Last updated
03/19/2013
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