Individual
ROBERT TYSON DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 N BELAIR RD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Mailing address
340 N BELAIR RD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
052914
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
661528293A
—
GA
05
—
661528293B
—
GA
05
—
G52914
—
SC
01
—
P00331675
MEDICARE RAILROAD
GA
Enumeration date
08/31/2006
Last updated
08/03/2010
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