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TIMOTHY DAVID DYESS
>> Non-emergency Medical Transport (VAN) >> Transportation ServicesRegistrant NPI Number: 1447715594
Individual Registrant: TIMOTHY DAVID DYESS
Gender: M
Sole Proprietor
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
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
Tel: 229-423-2651 Fax: 229-736-0806
Registration Information:
NPI: 1447715594
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
