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Individual

DAVID G DILLARD

Active
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Individual

DAVID G DILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
040364
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00681227K
GA
01
040015437
MEDICARE RAILROAD ID NO
GA
01
040364
STATE LICENSE NUMBER
GA
01
196754
BCBS PROVIDER NUMBER
GA
Enumeration date
04/24/2006
Last updated
01/15/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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