Doctor Name: | DR. GAIL REGINA DILLARD-WASHINGTON |
NPI Number: | 1447201249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 13574 |
Business Practice Address: | 1415 Barnwell St Columbia, SC - 292013511 |
Business Phone Number: | 8036611004 |
Business Fax Number: | 8037796623 |
Mailing Address: | Po Box 9828, COLUMBIA |
State: | SC |
Postal Code: | 292900828 |
Phone Number: | 8036611004 |
Fax Number: | 8037796623 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 05/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |