Individual
GERALD R. TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S MEETING ST, GEORGETOWN, SC 29440-3834
(843) 340-0561
Mailing address
1200 HIGHMARKET ST, GEORGETOWN, SC 29440-3227
(843) 546-8421
(843) 546-1173
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD6038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060383
—
SC
Enumeration date
07/26/2006
Last updated
03/14/2025
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