Individual
DR. JAMES DONALD DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
511 GAINES SCHOOL RD, ATHENS, GA 30605-3125
(706) 543-6006
(706) 543-0628
Mailing address
511 GAINES SCHOOL RD, ATHENS, GA 30605-3125
(706) 543-6006
(706) 543-0628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095554D
—
GA
Enumeration date
10/06/2006
Last updated
07/09/2007
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