Individual
JAYDON ALLEN PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 INDUSTRIAL BLVD, DUBLIN, GA 31021-2800
(478) 272-7437
Mailing address
99 CELIA DR APT 5, EAST DUBLIN, GA 31027-7806
(478) 279-0986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0099455
GA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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