Individual
DR. DYAN M SPINNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4321 UNIVERSITY PKWY, SUITE 104, EVANS, GA 30809-3058
(706) 854-2600
(706) 854-2601
Mailing address
208 OAKHURST DR, NORTH AUGUSTA, SC 29860-9742
(803) 279-9666
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
05236
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
052636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190988196A
—
GA
05
—
190988196C
—
GA
Enumeration date
06/04/2006
Last updated
08/08/2012
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