Doctor Name: | DR. WINSTON E DILL |
NPI Number: | 1134180243 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | JDPHDPSYDDNP |
License Number: | 9206716 |
Business Practice Address: | 605 Osborne St Saint Marys, GA - 315588410 |
Business Phone Number: | 9123987311 |
Business Fax Number: | |
Mailing Address: | 7400 Abercorn St, Suite 705-322 SAVANNAH |
State: | GA |
Postal Code: | 314062447 |
Phone Number: | 9123987311 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 9206716 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |