Mary Dyal

NPI #1477864940 in Vidalia, Georgia

Provider Information

NPI Number: 1477864940
Entity Type: Individual
Name: Mary Dyal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 1310 TAYLOR SPRINGS RD
City: Vidalia
State: Georgia
ZIP Code: 30474-6521
Phone: (912) 537-0081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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