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NPI Code Detail

MEDICARE: DR. DRAKE HAMILTON TILLEY JR. M.D. M.P.H.&T.M.

MEDICARE:  DR. DRAKE HAMILTON TILLEY JR. M.D.  M.P.H.&T.M.
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
1207RI0200XInfectious Disease Physician0101233383VA

General Provider Information

NPI Number : 1750376950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DRAKE HAMILTON TILLEY JR. M.D. M.P.H.&T.M.
Provider Business Mailing Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number : 410-293-7920
Fax Number : 410-293-3546
Provider Business Practice Location Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number : 410-293-7920
Fax Number : 410-293-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 08/10/2022

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Directions to “ DR. DRAKE HAMILTON TILLEY JR. M.D. M.P.H.&T.M.” Practice Location

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