Individual
RICHARD WILLIAM DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4203 MEMORIAL DR, DECATUR, GA 30032-1206
(404) 292-4792
Mailing address
5096 OAK FARM WAY, FLOWERY BRANCH, GA 30542-5273
(770) 965-9885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002566
GEORGIA STATE LICENSE NUM
GA
Enumeration date
11/30/2006
Last updated
07/08/2007
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