Tilley Diagnostic Clinic in Malvern - Internal Medicine

Tilley Diagnostic Clinic - NPI 1831108331

Tilley Diagnostic Clinic is a Internal Medicine in Malvern, Arkansas. Tilley Diagnostic Clinic practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tilley Diagnostic Clinic is 1831108331. The last update date is 2020-12-09.

Tilley Diagnostic Clinic's current location address is 1003 Schneider Dr, Malvern, Arkansas. You can contact this provider via phone number 5013375678 and fax number 5013326759. The mailing address for Tilley Diagnostic Clinic is 1003 Schneider Dr, Malvern, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tilley Diagnostic Clinic
Address 1003 Schneider Dr, Malvern, Arkansas
Phone Number 5013375678
Fax Number 5013326759
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tilley H Absalom
Credentials M.D.
Telephone Number 5013375678

NPI Number Detail

NPI Number 1831108331
Provider Enumeration Date 2006-08-05
Last Updated Date 2020-12-09

Provider Mailing Address Detail

Address 1003 Schneider Dr
City Malvern
State Arkansas (AR)
Post Code 721044811
Phone Number 5013375678
Fax Number 5013326759

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No C7758
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
149122002 AR --

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FAQs about Tilley Diagnostic Clinic

What is the unique identifier code issued to Tilley Diagnostic Clinic by the Centers for Medicare & Medicaid Services (CMS)?

The Tilley Diagnostic Clinic has been assigned the NPI (National Provider Identifier) 1831108331. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Tilley Diagnostic Clinic located?

The Tilley Diagnostic Clinic is located at 1003 Schneider Dr, Malvern, AR 721044811.

What is Tilley Diagnostic Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tilley Diagnostic Clinic's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Tilley Diagnostic Clinic receive its 1831108331 assignment from the Centers for Medicare & Medicaid Services?

The Tilley Diagnostic Clinic was assigned its 1831108331 by the Centers for Medicare & Medicaid Services on 2006-08-05.

When was the information regarding Tilley Diagnostic Clinic most recently updated?

The details pertaining to the Tilley Diagnostic Clinic, including its address, specialty, and other relevant information, were last refreshed on 2020-12-09.

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