Dye, James W

Dye, James W is an sole proprietor health care provider with primary practice located at 1306 Alice St , Waycross GA 31501-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dye, James W can be contacted via phone (912) 283-7951.

Contact Information

Primary practice address
1306 Alice St Waycross GA 31501-4527
Phone: (912) 283-7951
Fax: (912) 285-7922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 034129 Georgia

Profile Details

NPI number 1104801950
LBN Legal business name Dye, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Jan 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104801950 NPPES
Georgia MEDICAID 00456156A
Georgia Other 10057862
Georgia MEDICAID 300020047C
Georgia Other 340003981
Georgia Other 339931
Georgia Other 024623

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