| Dillard Foundation | |
|
8014 Cumming Hwy Suite 403302 Canton GA 30115-9339 | |
| (404) 806-0434 | |
| Not Available |
| Full Name | Dillard Foundation |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 8014 Cumming Hwy, Canton, Georgia |
| Authorized Official Name and Position | Jeff Baker (CONSULTANT) |
| Authorized Official Contact | 4048060434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dillard Foundation 1602 Stephens St Goldsboro NC 27530-6720 Ph: (919) 738-1206 | Dillard Foundation 8014 Cumming Hwy Suite 403302 Canton GA 30115-9339 Ph: (404) 806-0434 |
| NPI Number | 1124459912 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124459912 | NPI | - | NPPES |
| 8600110 | Medicaid | NC |
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