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Individual

THOMAS WAYNE DILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2754 NC HIGHWAY 68 S STE 111, HIGH POINT, NC 27265
(336) 802-1111
(336) 803-7136
Mailing address
4140 MENDENHALL OAKS PKWY STE 101, HIGH POINT, NC 27265-8348
(336) 802-1111
(336) 889-5252

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200700476
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200700476
NC STATE LICENSE
NC
Enumeration date
04/24/2007
Last updated
06/20/2018
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