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TIMOTHY DAVID DYESS

>> Non-emergency Medical Transport (VAN) >> Transportation Services

Registrant NPI Number: 1447715594

Individual Registrant:
 TIMOTHY DAVID DYESS 
Gender: M
Sole Proprietor

Location and contact information for practice:
148 NEWCOMER TRL  FITZGERALD, GA 31750-8602 US
Tel: 229-423-2651  Fax: 229-736-0806

Contact information for business:
148 NEWCOMER TRL  FITZGERALD, GA 31750-8602 US
Tel: 229-423-2651  Fax: 229-736-0806

Registration Information:
NPI: 1447715594
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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