Terrance Tillison
Terrance Tillison is an Undefined Non-Physician Type (Specify) in Oxon Hill, Maryland. Qualified in 2008, 18 years ago. Practices as a sole proprietor.
- Years since qualifying
- 18
- In the registry since
- 2023
Practice location Address checks out
1100 Kennebec St Apt 4DOxon Hill, MD 20745-3308
Phone: (202) 880-4987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1225733553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Accepts Medicare assignment | Not indicated |
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