Individual
FREDDY B DILLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 977-1949
(412) 822-7411
Mailing address
P.O. BOX 830550 MSC100, BIRMINGHAM, AL 35283-0550
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1313
AL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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