Jonathan S Dial P.A.

NPI 1366523292 - Physician Assistant - 363AM0700X

NPI Details
NPI 1366523292
Gender Male
Enumeration Date 10/18/2006
Last Updated 06/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 TEBEAU ST
WAYCROSS GA, 31501-6357, US
Phone (912) 338-6368
Fax (912) 338-7113
Business Location
1900 TEBEAU ST
WAYCROSS GA, 31501-6357, US
Phone (912) 338-6368
Fax (912) 338-7113
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 004822
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According to our database, Mr. Jonathan S Dial P.A. NPI is 1366523292, taxonomy code is 363AM0700X and license number is 004822, license state is located at Georgia. Jonathan S Dial P.A. physically located at 1900 Tebeau St, Waycross GA, 31501-6357. NPI Number Jonathan S Dial P.A. has the Individual type.

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1366523292 NPI number is provided on an as is basis without warranty of any kind. 1366523292 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan S Dial P.A. are for informational purposes only.