Individual
DIAMOND DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W EDEN ST, EDENTON, NC 27932-1844
(252) 484-5413
Mailing address
3115 DAVENPORT FORK RD, CRESWELL, NC 27928-9387
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
25-CPT274
NC
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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