Individual
DONNA LYNN DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 CENTER ST, STE 2N, MOBILE, AL 36604-1512
(251) 660-5763
(251) 660-5752
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 660-5763
(251) 660-5752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11290
AL
2086S0102X
Surgical Critical Care Physician
Primary
11290
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000013013
—
AL
05
—
00011059
—
MS
05
—
055765000
—
FL
05
—
1583677
—
LA
01
—
17-10302
UNITED HEALTH CARE
AL
01
—
51013013
BLUE CROSS
AL
Enumeration date
05/19/2006
Last updated
02/23/2017
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