Individual
DR. JOHN ALLEN PYBASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32192
SC
2084P0800X
Psychiatry Physician
MD.37998
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327877
WACAMAW MHC MEDICAID
SC
01
—
3344
WACAMAW MHC MEDICARE
SC
Enumeration date
04/20/2007
Last updated
03/22/2019
Update your record
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