MR. EDWARD CARL TILLLEY C.O.
NPI 1104059617
Specialist/Technologist, Other in Greenville, NC

Active since August 31, 2009
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-5932(252) 847-7552 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Carl Tillley C.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD CARL TILLLEY C.O. (NPI 1104059617) is an individual specialist/technologist, other provider in Greenville, North Carolina and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1104059617
Entity TypeIndividualMale
Primary Taxonomy246Z00000X
Provider Legal NameMR. EDWARD CARL TILLLEYCredential: C.O.
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 847-5932 · Fax (252) 847-7552
Fax(252) 847-7552
Sole ProprietorNo
Enumeration DateAugust 31, 2009
NPI 1104059617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
2100 STANTONSBURG RD, Greenville, NC 27834

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Tillley's NPI number?

The NPI number for Edward Tillley is 1104059617. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Edward Tillley located?

Edward Tillley practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-5932.

What is Edward Tillley's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Edward Tillley was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.