Individual
MR. MARK J DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
940 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4044
(706) 858-0466
Mailing address
8800 SE SUNNYSIDE RD, STE. 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
0000000712
TN
237700000X
Hearing Instrument Specialist
Primary
HADE03490
GA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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