person
Mr. Jonathan S Dial, PA
Medical Physician Assistant in Waycross, Georgia
NPI 1366523292

Jonathan S Dial is a Medical Physician Assistant based in Waycross, GA and is specialized in Medical. Jonathan S Dial practices in Waycross, GA and has the professional credentials of PA. The NPI Number for Jonathan S Dial is 1366523292 and holds a License No. 004822 (Georgia).

The current practice location address for Jonathan S Dial is 1900 Tebeau St, Waycross, GA and can be reached out via phone at 912-338-6368 and via fax at 912-338-7113.

Location: 1900 Tebeau St, Waycross, GA, 31501-6357
person
Provider Profile Details
NPI Number
1366523292
Provider Name
Jonathan S Dial
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1900 Tebeau St, Waycross, GA, 31501-6357
Phone Number
912-338-6368
Fax Number
912-338-7113
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1900 Tebeau St
City
State
Zip
31501-6357
Phone Number
912-338-6368
Fax Number
912-338-7113
person
Provider Business Mailing Address Details
Address
1900 Tebeau St
City
State
Zip
31501-6357
Phone Number
912-338-6368
Fax Number
912-338-7113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004822 (Georgia)
Definition
Definition to come...
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