Individual
KOY ABSHIRE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/IBCLC
Contact information
Practice address
7233 THOMPSON MILL RD, WAKE FOREST, NC 27587-9081
(919) 971-3947
Mailing address
14112 BOLD RUN HILL RD., WAKE FOREST, NC 27587
(919) 971-3947
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
238317
NC
Other
Enumeration date
02/21/2019
Last updated
04/30/2024
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