Dillard, David G

Dillard, David G is an sole proprietor health care provider with primary practice located at 1000 Hawthorne Ave Suite O, Athens GA 30606-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Dillard, David G can be contacted via phone (706) 353-0093.

Contact Information

Primary practice address
1000 Hawthorne Ave Suite O Athens GA 30606-2168
Phone: (706) 353-0093
Fax: (706) 353-0094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 040364 Georgia

Profile Details

NPI number 1558327072
LBN Legal business name Dillard, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Jan 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558327072 NPPES
Georgia Other 040015437 MEDICARE RAILROAD ID NO
Georgia Other 040364 MEDICARE RAILROAD ID NO
Georgia MEDICAID 00681227K MEDICARE RAILROAD ID NO
Georgia Other 196754 MEDICARE RAILROAD ID NO

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