Individual
AMY PATEL TILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 MALCOLM BLVD, VALDESE, NC 28690-2872
(828) 580-2280
Mailing address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03648
NC
Other
Enumeration date
07/10/2012
Last updated
12/18/2023
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