1730185380

Everything you always wanted to know about DR. TILLEY SPENCER WILLIAM JR. MD but were afraid to ask.

DR. TILLEY SPENCER WILLIAM JR. MD

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Suffix Provider Credential
DR. TILLEY SPENCER WILLIAM JR. MD
Gender:
Male
Enumeration date:
2005-06-27
Last update date:
2009-12-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207RC0000X Cardiovascular Disease NC 29177 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3362826305
Practice Location Address Telephone Number 3362747581
Practice Location Address Fax Number 3362747584

Addresses

Type Address City State Postal Country
Mailing Address 5 ASPEN CT STE 202 GREENSBORO NC 27408 NC
Practice Location Address 1002 N CHURCH ST GREENSBORO NC 27401 NC

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