| Dill Md Ltd Llc | |
|
6810 S Hazel St Pine Bluff AR 71603-7828 | |
| (501) 771-4693 | |
| Not Available |
| Full Name | Dill Md Ltd Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 6810 S Hazel St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Kenneth Doyne Dill (OWNER) |
| Authorized Official Contact | 8705418701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dill Md Ltd Llc 6671 Gap Point Cir Sherwood AR 72120-4052 Ph: (501) 771-4693 | Dill Md Ltd Llc 6810 S Hazel St Pine Bluff AR 71603-7828 Ph: (501) 771-4693 |
| NPI Number | 1942787551 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942787551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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