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NPI Code Detail

MEDICARE: ERIN ELIZABETH TILTON

MEDICARE:   ERIN ELIZABETH TILTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2122300000XDentist10361NC

General Provider Information

NPI Number : 1780030874
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH TILTON
Provider Business Mailing Address
First Line : 232 BRAUER HL
Second Line : CAMPUS BOX #7450
City : CHAPEL HILL
State : NC
Zip : 27599-0001
Country : US
Telephone Number : 330-306-8449
Fax Number :
Provider Business Practice Location Address
First Line : 31 OLEANDER DR
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4561
Country : US
Telephone Number : 330-306-8449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 07/22/2019

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Directions to “ ERIN ELIZABETH TILTON ” Practice Location

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