Search › South Carolina › 363A00000X
Jonathan Tillman, PA-C
NPI 1528616257 · on the registry since 2019
Practice
- Address
- 101 E Wood St
Spartanburg, SC 29303 - Phone
- (864) 560-6617
- Organisation at this address
- Premier Diagnostics
Spartanburg Medical Center
Spartanburg Medical Center
Spartanburg Medical Center
Spartanburg Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 636
Additional practice sites
- 43 New Scotland Ave, Albany, NY
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina