| Doctor Name: | DR. ROBERT GWYN DILLON |
| NPI Number: | 1578833992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 21676 |
| Business Practice Address: | 3341 Foxford Ct Doraville, GA - 303404442 |
| Business Phone Number: | 7709396671 |
| Business Fax Number: | 7709396671 |
| Mailing Address: | 3341 Foxford Ct, DORAVILLE |
| State: | GA |
| Postal Code: | 303404442 |
| Phone Number: | 7709396671 |
| Fax Number: | 7709396671 |
| NPI Enumeration Date: | 01/02/2012 |
| NPI Last Update Date: | 01/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 21676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |