OrganizationActive
Jerry Dillard MD
NPI 1942668397 · Medical Specialty Clinic/Center · Selma, AL
Provider details
- NPI number
- 1942668397
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Dillard, Owner(334) 875-7406
- License
- ACSC3813 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
206 W Dallas Ave
Selma, AL 36701-6531
Phone: (334) 875-7406
Approximate (ZIP-level) locationGet directions
Mailing address
206 W Dallas Ave
Selma, AL 36701-6531
Registry dates
- Enumerated
- 2016-01-31
- Last updated
- 2016-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.