Individual
ROBERT GUERARD DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811446000
—
WV
01
—
23045
MEDCOST
NC
01
—
28629
BCBS
NC
01
—
4307720
AETNA
NC
01
—
4696
PARTNERS
NC
05
—
6759025
—
VA
05
—
8928629
—
NC
Enumeration date
12/02/2005
Last updated
05/06/2008
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