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Contact Information

MARY DYAL
1310 TAYLOR SPRINGS RD
VIDALIA, GA30474-6521
 Phone: 912-537-0081
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MARY DYAL · (Female)

NPI Number 1477864940
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2010
Last updated 06/29/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 18891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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