Individual
MR. ERIC W DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
902 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-4789
(910) 457-5824
Mailing address
PO BOX 63384, CHARLOTTE, NC 28263-3384
(910) 457-4789
(910) 457-5824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000320
NC
Other
Enumeration date
08/01/2006
Last updated
06/12/2013
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