NPI 1477864940

Mary Dyal

Practitioner General Practice Physician Vidalia, GA

Practice location

Address: 1310 Taylor Springs Rd, Vidalia, GA 30474-6521
Phone: (912) 537-0081

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 18891 (GA)

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Registry record

NPI: 1477864940
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2010
Record last updated: 29 Jun 2010

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.