Individual
CHRIS T. HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 S. PARRISH AVE., ADEL, GA 31620
(229) 896-4166
(229) 896-4731
Mailing address
130 S. PARRISH AVE., ADEL, GA 31620
(229) 896-4166
(229) 896-4731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716207A
—
GA
Enumeration date
09/27/2006
Last updated
05/11/2010
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