Individual
DR. LARRY B DYAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 265-0709
(912) 574-5953
Mailing address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 265-0709
(912) 574-5953
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400885615D
—
GA
Enumeration date
10/13/2005
Last updated
07/21/2022
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