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Jonathan Alexander Dyas, DO
Student in an Organized Health Care Education/Training Program in Macon, Georgia
NPI 1215687405

Jonathan Alexander Dyas is a Student in an Organized Health Care Education/Training Program based in Bay Minette, GA. Jonathan Alexander Dyas practices in Macon, GA and has the professional credentials of DO. The NPI Number for Jonathan Alexander Dyas is 1215687405 and holds a License No. (Georgia).

The current practice location address for Jonathan Alexander Dyas is 777 Hemlock St, Macon, GA and can be reached out via phone at 251-656-9521.

Location: 777 Hemlock St, Macon, GA, 36507-8958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215687405
Provider Name
Jonathan Alexander Dyas
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
777 Hemlock St, Macon, GA, 36507-8958
Phone Number
251-656-9521
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Hemlock St
City
Macon
State
Georgia
Zip
31201-2102
Phone Number
251-656-9521
Fax Number
person
Provider Business Mailing Address Details
Address
777 Hemlock St
City
Macon
State
Georgia
Zip
31201-2102
Phone Number
251-656-9521
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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