CHARLES DAVID TOLLISON (NPI# 1710900964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710900964 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID TOLLISON |
| Credential | PHD |
| Practice Address |
220 Roper Mtn Rd Ext Greenville SC 29615 |
| Mailing Address |
1330 Boiling Springs Road Suite 2700 Spartanburg SC 29303 |
| Practice Telephone | 8642956399 |
| Practice Fax Number | 8642952337 |
| Mailing Telephone | 8645830053 |
| Mailing Fax Number | 8645830390 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
293 | SC | Behavioral Health & Social Service Providers |
| Street Address |
220 ROPER MTN RD EXT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1295272078 | Stephanie Wallio | Psychologist | 1705 Rondo Dr, Greenville, NC 27858-5337 | 2017-01-31 |
| 1346690062 | Dale Lawrence Sanders | Psychologist | 4 Creekstone Ct, Greenville, SC 29609-4845 | 2016-06-14 |
| 1336587278 | Andrea Cantarelli | Psychologist | 3217 Meeting Pl, Greenville, NC 27858-8000 | 2013-06-13 |
| 1235478355 | Lowdergroup LLC | Psychologist | 86 Villa Rd Ste B, Greenville, SC 29615-3052 | 2013-02-08 |
| 1952699456 | Christy Mangione Walcott | Psychologist | 104 Rawl Bldg, Mailstop 565, Department of Psychology, Greenville, NC 27858-4353 | 2011-07-18 |
| 1720386683 | Ecu Pass Clinic | Psychologist | 311 Rawl Building, East 5th St., East Carolina University, Greenville, NC 27858-4353 | 2011-03-02 |
| 1336442953 | North Kent Guidance Serivces | Psychologist | 106 S Greenville West Dr, Suite 3, Greenville, MI 48838-3504 | 2010-12-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on CHARLES DAVID TOLLISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.