Individual
MRS. KIMBERLY FAITH DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
543 JONESBORO RD, MCDONOUGH, GA 30253-3718
(678) 583-9071
(678) 583-9319
Mailing address
543 JONESBORO RD, MCDONOUGH, GA 30253-3718
(678) 583-9071
(678) 583-9319
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN149811NP
GA
Other
Enumeration date
05/01/2009
Last updated
09/21/2015
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