Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edward Carl Tillley, CO

Individual provider Other Specialist/Technologist · NPI 1104059617

Mr. Edward Carl Tillley, CO is an Other Specialist/Technologist in Greenville, North Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-5932
Fax: (252) 847-7552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1104059617
Entity typeIndividual (Type 1)
GenderMale
Credentials CO
Sole proprietorNo
NPI enumeratedAugust 31, 2009
Last updated in NPPESAugust 31, 2009