Individual
DALLAS BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1501 ALICE ST, WAYCROSS, GA 31501-4530
(912) 285-0877
(912) 287-0387
Mailing address
1501 ALICE ST, WAYCROSS, GA 31501-4530
(912) 285-0877
(912) 287-0387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230922
GA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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