# CHATTAHOOCHEE VALLEY FAMILY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760598643
- **Authorized official:** GARY A DILLARD MD (SENIOR PARTNER)
- **Authorized official phone:** (334) 291-8322

## Contact information

- **Practice address:** 1810 STADIUM DRIVE STE 240, PHENIX CITY, AL 36867
- **Practice address phone:** (334) 291-8303
- **Practice address fax:** (334) 291-8325
- **Mailing address:** 1810 STADIUM DRIVE STE 240, PHENIX CITY, AL 36867
- **Mailing address phone:** (334) 291-8303
- **Mailing address fax:** (334) 291-8325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 07/02/2010