Individual
PHILLIP DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 251-8921
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252075
GA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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