Dial, Jonathan S

Dial, Jonathan S is an individual health care provider with primary practice located at 1900 Tebeau St , Waycross GA 31501-6357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dial, Jonathan S can be contacted via phone (912) 338-6368.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501-6357
Phone: (912) 338-6368
Fax: (912) 338-7113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004822 Georgia

Profile Details

NPI number 1366523292
LBN Legal business name Dial, Jonathan S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Feb 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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