Dyer, Rupert

Dyer, Rupert is an individual health care provider with primary practice located at 420 Johnson St Se , Dawson GA 39842-1523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dyer, Rupert can be contacted via phone (229) 995-2990.

Contact Information

Primary practice address
420 Johnson St Se Dawson GA 39842-1523
Fax: (229) 995-2993
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 051314 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 051314 Georgia

Profile Details

NPI number 1922119650
LBN Legal business name Dyer, Rupert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922119650 NPPES
Georgia Other 887065 BCBS - EMC
Georgia Other 7796360 BCBS - EMC
Georgia Other 887063 BCBS - EMC
Georgia Other 887064 BCBS - EMC

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