Individual
MR. MICHAEL RAY DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 SMITH ST., COLISEUM, ATHENS, GA 30603
(706) 542-8984
(706) 542-7707
Mailing address
1061 WINDBROOKE CT, WATKINSVILLE, GA 30677-1969
(706) 769-4028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
88
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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