Organization
ATLANTA ALLERGY & OTOLARYNGOLOGY CENTER, LLC
Active
Other names
Sleep and Sinus Centers of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G DILLARD M.D. (OWNER)
(678) 689-1100
Entity
Organization
Contact information
Practice address
1990 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30043-5925
(678) 689-1100
(678) 722-8206
Mailing address
PO BOX 1728, WATKINSVILLE, GA 30677-0034
(678) 689-1100
(678) 722-8206
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000681227K
—
GA
05
—
00681227M
—
GA
01
—
040015437
MEDICARE RAILROAD ID NO
GA
01
—
196754
BCBS PROVIDER NUMBER
GA
Enumeration date
01/24/2007
Last updated
01/08/2019
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