Individual
JOHN MICHAEL DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Mailing address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303962
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
123390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303962
NC BOARD OF NURSING
NC
Enumeration date
08/23/2018
Last updated
10/08/2018
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