Organization
WINSTON E DILL PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON DILL (OWNER)
(912) 882-6448
Entity
Organization
Contact information
Practice address
605 OSBORNE ST, SAINT MARYS, GA 31558-8410
(912) 882-6448
(912) 882-6804
Mailing address
605 OSBORNE ST, SAINT MARYS, GA 31558-8410
(912) 882-6448
(912) 882-6804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003277
GA
363L00000X
Nurse Practitioner
RN196911
GA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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