IndividualActive
Edward Tillley, C.O.
NPI 1104059617 · Other Specialist/Technologist · Greenville, NC
Provider details
- NPI number
- 1104059617
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- C.O.
- Sex
- Male
- Sole proprietor
- No
Practice location
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-5932
Fax: (252) 847-7552
Mailing address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Registry dates
- Enumerated
- 2009-08-31
- Last updated
- 2009-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.