Individual
JONATHAN ALEXANDER DYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(251) 656-9521
Mailing address
37881 STATE HIGHWAY 225, BAY MINETTE, AL 36507-8958
(251) 656-9521
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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