NPI 1477881019

Eric Hall Dillingham, LPN

Practitioner Licensed Practical Nurse Palatka, FL

Practice location

Address: 1836 Carr St, Palatka, FL 32177-4450
Phone: (904) 687-5509

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN5145588 (FL)

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Registry record

NPI: 1477881019
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2009
Record last updated: 19 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.