Individual
DR. CHARLES A. DILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2089 FAIRWAY CIRCLE, ATLANTA, GA 30319
(678) 216-0247
Mailing address
2086 FARIWAY CIRCLE, ATLANTA, GA 30319
(404) 325-7405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0799
GA
103T00000X
Psychologist
799
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
799
GA
103TC0700X
Clinical Psychologist
799
GA
Other
Enumeration date
12/28/2005
Last updated
04/24/2009
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