Individual
ELI TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 S 10TH AVE, SILER CITY, NC 27344
(919) 663-1744
Mailing address
224 S 10TH AVE, SILER CITY, NC 27344-2779
(828) 773-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201687
NC
390200000X
Student in an Organized Health Care Education/Training Program
201687
NC
Other
Enumeration date
05/06/2014
Last updated
07/20/2018
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