NPI | 1225338478 |
---|---|
Doing Business As | W. SPENCER TILLEY, JR., MD |
Entity Type | Organization |
Authorized Contact | SALLY P HAMMOND Executive Director 336-663-5007 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207R00000X Internal Medicine |
207RI0011X Internal Medicine, Interventional Cardiology | |
207UN0901X Nuclear Medicine, Nuclear Cardiology | |
Enumeration Date | 2010-10-21 |
Last Update Date | 2020-02-13 |