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Individual

SUNNY DYER COY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2485 HEMBY LN, SUITE A, GREENVILLE, NC 27834-3701
(252) 752-2140
(888) 787-2249
Mailing address
2485 HEMBY LN, SUITE A, GREENVILLE, NC 27834-3701
(252) 752-2140
(888) 787-2249

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217035
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
92818
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811239783
TRICARE
NC
05
1811239783
NC
Enumeration date
03/19/2013
Last updated
01/20/2015
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