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Individual

KAREN MARIE DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,CCM

Contact information

Practice address
1219 PUGHES CREEK WAY, LAWRENCEVILLE, GA 30045-5473
(678) 491-1085
(770) 710-0653
Mailing address
1219 PUGHES CREEK WAY, LAWRENCEVILLE, GA 30045-5473
(678) 491-1085
(770) 710-0653

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
061092
MO
163W00000X
Registered Nurse
Primary
RN215362
GA
163WC0400X
Case Management Registered Nurse
RN215362
GA
163WH0200X
Home Health Registered Nurse
RN215362
GA
163WN1003X
Nutrition Support Registered Nurse
RN215362
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN215362
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN215362
GA
163WR0400X
Rehabilitation Registered Nurse
RN215362
GA
163WX0106X
Occupational Health Registered Nurse
RN215362
GA

Other

Enumeration date
10/23/2014
Last updated
10/23/2014
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