Individual
MR. JONATHAN S DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 338-6368
(912) 338-7113
Mailing address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 338-6368
(912) 338-7113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004822
GA
Other
Enumeration date
10/18/2006
Last updated
02/08/2022
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