Tillman, Mary Kate

Tillman, Mary Kate is an individual health care provider with primary practice located at 202 Bentons Lodge Rd , Summerville SC 29485-6322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tillman, Mary Kate can be contacted via phone (843) 871-2588.

Contact Information

Primary practice address
202 Bentons Lodge Rd Summerville SC 29485-6322
Phone: (843) 871-2588
Fax: (843) 871-1664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16816 South Carolina

Profile Details

NPI number 1669451092
LBN Legal business name Tillman, Mary Kate
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669451092 NPPES
South Carolina MEDICAID 168160

Popular Providers