Individual
DR. ILEY FLOYD DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 FRONT ST, SUITE 2109, VIDALIA, LA 71373-2836
(318) 336-2215
(318) 336-6074
Mailing address
107 FRONT ST, SUITE 2109, VIDALIA, LA 71373-2836
(318) 336-2215
(318) 336-6074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L013367
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126495
MISS MEDICAID
MS
Enumeration date
08/09/2005
Last updated
07/08/2007
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