Individual
DEXTER T MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 HOPEWELL CHURCH RD NW, MILLEDGEVILLE, GA 31061-9743
(478) 233-4527
Mailing address
158 HOPEWELL CHURCH RD NW, MILLEDGEVILLE, GA 31061-9743
(478) 233-4527
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
GA
Enumeration date
09/14/2020
Last updated
09/14/2020
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