Individual
MR. EVAN PATRICK DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1415 HILLSBORO BLVD STE 106, MANCHESTER, TN 37355-2599
(931) 954-5605
(931) 954-5606
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(256) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2418
TN
Other
Enumeration date
09/25/2013
Last updated
09/16/2019
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