Individual
MICHAEL D DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 FAIR RD STE 800, STATESBORO, GA 30458-0800
(800) 827-6536
(912) 644-5260
Mailing address
460 MALL BLVD STE B, SAVANNAH, GA 31406-4891
(912) 644-5300
(706) 378-1204
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
059148
GA
208VP0000X
Pain Medicine Physician
0000026586
TN
208VP0014X
Interventional Pain Medicine Physician
Primary
05BDLQK
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279204128
—
GA
Enumeration date
07/11/2006
Last updated
07/22/2022
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