Individual
DR. LISA J. DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE STE 250, SUITE 250, MARIETTA, GA 30060-8902
(678) 797-8238
(404) 588-2655
Mailing address
PO BOX 650, AUSTELL, GA 30168-1007
(770) 941-4810
(770) 948-9149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49219
GA
Other
Enumeration date
04/13/2006
Last updated
01/22/2014
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