Individual
MR. CHRISTOPHER NATHANIEL DIAL-GILLIOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 CEDAR DRIVE, EDEN, GA 31307
(912) 657-4085
Mailing address
PO BOX 932, EDEN, GA 31307-0932
(912) 657-4085
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
06/16/2018
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