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Mr. Austin Dale Tiller, PA-C
Medical Physician Assistant in Hamlin, West Virginia
NPI 1235774910

Austin Dale Tiller is a Medical Physician Assistant based in Hamlin, WV and is specialized in Medical. Austin Dale Tiller practices in Hamlin, WV and has the professional credentials of PA-C. The NPI Number for Austin Dale Tiller is 1235774910 and holds a License No. (West Virginia).

The current practice location address for Austin Dale Tiller is 7400 Lynn Ave, Hamlin, WV and can be reached out via phone at 304-824-5806 and via fax at 304-824-5804.

Location: 7400 Lynn Ave, Hamlin, WV, 25523-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235774910
Provider Name
Austin Dale Tiller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7400 Lynn Ave, Hamlin, WV, 25523-1138
Phone Number
304-824-5806
Fax Number
304-824-5804
Provider Enumeration Date
11/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7400 Lynn Ave
City
Hamlin
State
West Virginia
Zip
25523-1138
Phone Number
304-824-5806
Fax Number
304-824-5804
person
Provider Business Mailing Address Details
Address
7400 Lynn Ave
City
Hamlin
State
West Virginia
Zip
25523-1138
Phone Number
304-824-5806
Fax Number
304-824-5804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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