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Individual

MATTHEW DILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
2125 NORTHPOINT BLVD, HIXSON, TN 37343-4072
(423) 875-3376
(423) 875-3451
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001294
TN

Other

Enumeration date
07/03/2014
Last updated
06/03/2015
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