Dillard, Gary Amon
Dillard, Gary Amon is an individual health care provider with primary practice located at 1810 Stadium Drive Ste 240 , Phenix City AL 36867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dillard, Gary Amon can be contacted via phone (334) 291-8303.Contact Information
Primary practice address
1810 Stadium Drive Ste 240
Phenix City AL 36867
Phone: (334) 291-8303
Fax: (334) 291-8325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9197 | Alabama |
Profile Details
| NPI number | 1043325400 |
|---|---|
| LBN Legal business name | Dillard, Gary Amon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043325400 | NPPES |
| Alabama | MEDICAID | 009907905 |
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