David G Dillard, MD, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

040364 Issued in GU

Legal business name

DAVID G DILLARD, MD, LLC

Practice address

771 Old Norcross Rd
Suite 140
Lawrenceville, GA 30045-4317

Phone

(678) 689-1100

Fax

(678) 689-1104

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David G Dillard, MD

Title

Physician/Owner

Phone

(678) 689-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1760637243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1728",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770034",
            "telephone_number": "706-310-0252",
            "fax_number": "706-769-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454317",
            "telephone_number": "678-689-1100",
            "fax_number": "678-689-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G DILLARD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-689-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GU",
            "license": "040364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000681227M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dilini M Daswatta, D.O
• Zachary Dattilo, MD
• Cheryl Daugherty, LAPC
• Daniel Reif Daugherty, MD
• Shawntasia Daughtry
• Amy Davidson, WHNP-BC
• Shana-Kae J Davis-Chance, MSN, WHNP-BC
• Beau James Davis, NP
• Carolyn T Davis, LMT NCTMB SET
• Ceima Davis, RN

• Otolaryngology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.