Dykes, Legregory Jerome

Dykes, Legregory Jerome is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dykes, Legregory Jerome can be contacted via phone (912) 435-5231.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-5231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X Georgia

Profile Details

NPI number 1376943886
LBN Legal business name Dykes, Legregory Jerome
Credentials PSYCHOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2014
Last updated Sep 10th, 2014 - about 10 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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