Individual provider · Type 1 NPI
Mary Dyal
General Practice Physician · Vidalia, GA
NPI number
1477864940
Active
Practice location
1310 Taylor Springs Rd
Vidalia, GA 30474-6521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 18891 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Vidalia
About NPI 1477864940
Mary Dyal's National Provider Identifier is 1477864940, issued on Jun 29, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Vidalia, GA. The record was last updated on Jun 29, 2010.