Individual
GREGORY ORAN DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
200300462
NC
2084P0800X
Psychiatry Physician
Primary
200300462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144375767
OCTOBER ROAD
NC
01
—
1275695231
PAVILLON INTERNATIONAL
NC
01
—
137W1
NVML BSBSNC GRP 015HF
NC
05
—
89137W1
—
NC
Enumeration date
08/14/2006
Last updated
03/04/2010
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