Individual
MR. ERIC HALL DILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1836 CARR ST, PALATKA, FL 32177-4450
(904) 687-5509
Mailing address
1836 CARR ST, PALATKA, FL 32177-4450
(904) 687-5509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5145588
FL
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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