Jerry Dillard MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ACSC3813 Issued in AL

Legal business name

JERRY DILLARD MD

Practice address

206 W Dallas Ave
Selma, AL 36701-6531

Phone

(334) 875-7406

NPI assigned

Jan 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Dean Dillard, M.D.

Title

Owner

Phone

(334) 875-7406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454198400000",
    "number": "1942668397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016531",
            "telephone_number": "334-875-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016531",
            "telephone_number": "334-875-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY DILLARD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-875-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "ACSC3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interlink Apothecary (A Division of Brown Drug Company, Inc.)
• Iqbal I Singh, MD, PC
• Irc-Scionhealth Selma LLC (Vaughan Kidney Care An Innovative Renal Care Center)
• Jaleesa Jackson
• Jericho Family Counseling LLC
• Sankung Jobarteh, PHARM.D
• Richard Keith Johnson, MD
• Joint Adjust
• Lashana Faye Jones, DIRECTOR
• Austin Jordan

• Medical Specialty Clinic/Center in Selma, AL
• Providers in Selma, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.