David G Dillard, MD, LLC
Otolaryngology in Lawrenceville, GA. Organization (NPI-2).
NPI number1760637243
StatusActive
Last updated in NPPESNov 25, 2008
Details
- NPI
- 1760637243
- Entity type
- Organization (NPI-2)
- Legal business name
- David G Dillard, MD, LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2008
- Last updated
- Nov 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 040364 | GU | Yes |
Practice location
771 Old Norcross RdSuite 140
Lawrenceville, GA 30045-4317
Phone 678-689-1100 · Fax 678-689-1104
Mailing address
Po Box 1728Watkinsville, GA 30677-0034
Phone 706-310-0252 · Fax 706-769-2750
Authorized official
David G Dillard
Physician/Owner
6786891100
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