Individual
LARRY DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
1431 CENTERPOINT BLVD, KNOXVILLE, TN 37932-1984
(865) 985-7012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A456
SC
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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