Individual
TINA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
132 MAKENNA DR, HAMPTON, GA 30228-5979
(404) 750-2657
Mailing address
132 MAKENNA DR, HAMPTON, GA 30228-5979
(404) 750-2657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN294425
GA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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