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1649256850
MARK TILLOTSON
BOLIVIA, NC
NPI
1649256850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 36841)
Enumeration Date
2005-12-20
Last Update Date
2023-05-11
Business Address
MARK TILLOTSON M.D.
257 HOSPITAL DRIVE SUITE 200
BOLIVIA, NC 28422-8411
Phone number: 910-721-4000
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Mailing Address
MARK TILLOTSON M.D.
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-7840
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