Individual
MR. CHRIS BALLOU LILLIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
DURHAM VA MEDICAL CENTER, 508 FULTON ST, DURHAM, NC 27705
(919) 286-0411
Mailing address
206 QUAIL ROOST DR, CARRBORO, NC 27510-1156
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100894
NC
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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