Individual
MICHELLE DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-5636
Mailing address
9456 JEFFERSON HWY, SUITE B, BATON ROUGE, LA 70809-2883
(225) 769-5636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200730
LA
Other
Enumeration date
09/02/2014
Last updated
04/17/2023
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