| Mark Tillotson, MD | |
|
257 Hospital Drive Suite 200, Bolivia, NC 28422-8411 | |
| (910) 721-4000 | |
| (910) 721-4001 |
| Full Name | Mark Tillotson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 257 Hospital Drive Suite 200, Bolivia, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649256850 | NPI | - | NPPES |
| 36841 | Other | NC | NC LICENSE |
| 8983552 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 36841 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Tillotson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Mark Tillotson, MD 257 Hospital Drive Suite 200, Bolivia, NC 28422-8411 Ph: (910) 721-4000 |
Matt Aaron Benenati, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Richard Ralph Scallion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Joseph Andrew Smith, Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Adolfo Richard Desandre, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 |