Bradley Earl Dillard in Armuchee - Specialist

Bradley Earl Dillard - NPI 1689684284

Bradley Earl Dillard is a Specialist in Armuchee, Georgia. Bradley Earl Dillard practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bradley Earl Dillard is 1689684284. The last update date is 2007-07-08.

Bradley Earl Dillard's current location address is 175 Grant Rd Ne, Armuchee, Georgia. You can contact this provider via phone number 7066739743. The mailing address for Bradley Earl Dillard is 175 Grant Rd Ne, Armuchee, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Earl Dillard
Address 175 Grant Rd Ne, Armuchee, Georgia
Phone Number 7066739743
Fax Number
Sole Proprietor N
Credentials B.A.

NPI Number Detail

NPI Number 1689684284
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 175 Grant Rd Ne
City Armuchee
State Georgia (GA)
Post Code 301052618
Phone Number 7066739743
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51522613 AL BCBS

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FAQs about Bradley Earl Dillard

What is the unique 10-digit identifier code assigned to Bradley Earl Dillard by the Centers for Medicare & Medicaid Services?

The Bradley Earl Dillard has been issued the NPI (National Provider Identifier) 1689684284 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Bradley Earl Dillard is physically located?

The Bradley Earl Dillard is situated at the following address: 175 Grant Rd Ne, Armuchee, GA 301052618.

What is Bradley Earl Dillard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bradley Earl Dillard's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Bradley Earl Dillard receive its 1689684284 assignment from the Centers for Medicare & Medicaid Services?

The Bradley Earl Dillard was assigned its 1689684284 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bradley Earl Dillard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bradley Earl Dillard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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