Organization
DAVID G DILLARD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G DILLARD MD (PHYSICIAN/OWNER)
(678) 689-1100
Entity
Organization
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 140, LAWRENCEVILLE, GA 30045-4317
(678) 689-1100
(678) 689-1104
Mailing address
PO BOX 1728, WATKINSVILLE, GA 30677-0034
(706) 310-0252
(706) 769-2750
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040364
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000681227M
—
GA
Enumeration date
11/25/2008
Last updated
11/25/2008
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