DR. LISA J. DILLARD


Address: 790 Church St Ne Ste 250, Suite 250, Marietta, GA 30060-8902
Phone: 6787978238

DR. LISA J. DILLARD (NPI# 1831153212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831153212
Entity Type Individual
Full Name DR. LISA J. DILLARD
Other Name DR. LISA J. WALKER
Credential M.D.
Practice Address 790 Church St Ne Ste 250
Suite 250
Marietta
GA 30060-8902
Mailing Address Po Box 650
Austell
GA 30168-1007
Practice Telephone 6787978238
Practice Fax Number 4045882655
Mailing Telephone 7709414810
Mailing Fax Number 7709489149
Enumeration Date 2006-04-13
Last Update Date 2014-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 49219 GA Allopathic & Osteopathic Physicians

Other Providers LISA DILLARD

NPI Name Taxonomy Address Enumeration
1003234956 Lisa Dillard I Registered Nurse 200 University Rdg, Greenville, SC 29601-3635 2014-03-28
1821394388 Lisa Jean Dillard Physical Therapy Assistant 1510 Byrum Rd, Blytheville, AR 72315-8033 2011-02-01
1730307828 Lisa A. Dillard Registered Nurse 5225 N Lamar Blvd, Austin, TX 78751-1820 2007-04-23

Office Location

Street Address 790 CHURCH ST NE STE 250
SUITE 250
City MARIETTA
State GA
Zip Code 30060-8902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598047110 Sunaina Jhurani Family Medicine 790 Church St Ne Ste 250, Marietta, GA 30060-8902 2011-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
Find all providers in zip 30060

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790399475 Janice Carol Gould Internal Medicine 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 2020-09-01
1952914368 Hardy Renew Wellness,llc Internal Medicine 838 Cannon Run Sw, Marietta, GA 30064-4600 2020-08-25
1881202752 Zandoc Group Corp Internal Medicine 2759 Delk Rd Se Ste 1603, Marietta, GA 30067-8887 2020-07-16
1548892458 Atlanta Osteoarthritis Center LLC Internal Medicine 2550 Windy Hill Rd Se Ste 308, Marietta, GA 30067-8655 2020-02-08
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1295392140 Camden-clark Physician Corporation Internal Medicine 26 Acme St, Marietta, OH 45750-3306 2019-05-28
1821572447 Cies Global - Georgia LLC Internal Medicine 780 Canton Rd Ne Ste 205, Marietta, GA 30060-7242 2018-09-19
1164943510 David Hout Mason Jr. Internal Medicine 3615 Paper Mill Rd Se, Marietta, GA 30067-4938 2017-07-06
1942678628 Claudia Michelle Brauer Ornelas Internal Medicine 401 Matthew St Dept Of, Marietta, OH 45750-1635 2015-09-11
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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