Dyal, Larry B
Dyal, Larry B is an sole proprietor health care provider with primary practice located at 10 Professional Dr , Brunswick GA 31520-3774. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dyal, Larry B can be contacted via phone (912) 265-0709.Contact Information
Primary practice address
10 Professional Dr
Brunswick GA 31520-3774
Phone: (912) 265-0709
Fax: (912) 264-5712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD000997 | Georgia |
Profile Details
| NPI number | 1871581744 |
|---|---|
| LBN Legal business name | Dyal, Larry B |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jun 24th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871581744 | NPPES |
| Georgia | MEDICAID | 400885615D |
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