Dillard, Gayla Janine
Dillard, Gayla Janine is an sole proprietor health care provider with primary practice located at 1364 Wellbrook Cir Ne , Conyers GA 30012-3872. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Dillard, Gayla Janine can be contacted via phone (770) 761-7171.Contact Information
Primary practice address
1364 Wellbrook Cir Ne
Conyers GA 30012-3872
Phone: (770) 761-7171
Fax: (770) 761-7179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 035241 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35241 | Georgia |
Profile Details
| NPI number | 1649291659 |
|---|---|
| LBN Legal business name | Dillard, Gayla Janine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Nov 14th, 2014 - about 12 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 | 1649291659 | NPPES |
| Georgia | MEDICAID | 00489255C |
Popular Providers
-
Poorak, Mitra
1301 Sigman Rd Ne Ste 180 , Conyers GA 30012-3924 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Bottenfield, Melinda Victoria
1301 Sigman Rd Ne Ste 180 , Conyers GA 30012-3924 -
Cook, Rhonda Ann
1301 Sigman Rd Ne Ste 180 , Conyers GA 30012-3924 -
Kinney, Michael R
1700 W Central Rd Ste 50 , Arlington Heights IL 60005-2477 -
Davies, Robert C
1301 Sigman Rd Ne Suite 130, Conyers GA 30012-3812 -
Bing, Shaoxu
1301 Sigman Rd Ne Ste 180 , Conyers GA 30012-3924