Jimmy Newt Dyer MT009204

NPI 1023440328 - Massage Therapist - 225700000X

NPI Details
NPI 1023440328
Gender Male
Enumeration Date 08/08/2013
Last Updated 08/08/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1510 N THORNTON AVE
214
DALTON GA, 30720-8517, US
Phone (706) 275-0543
Fax
Business Location
1510 N THORNTON AVE
214
DALTON GA, 30720-8517, US
Phone (706) 275-0543
Fax
Toxanomy
Taxonomy Code 225700000X
License State Georgia
License Number MT009204
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According to our database, Mr. Jimmy Newt Dyer MT009204 NPI is 1023440328, taxonomy code is 225700000X and license number is MT009204, license state is located at Georgia. Jimmy Newt Dyer MT009204 physically located at 1510 N Thornton Ave, Dalton GA, 30720-8517. NPI Number Jimmy Newt Dyer MT009204 has the Individual type.

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1023440328 NPI number is provided on an as is basis without warranty of any kind. 1023440328 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmy Newt Dyer MT009204 are for informational purposes only.