Dykes, Michael D
Dykes, Michael D is an individual health care provider with primary practice located at 1601 Fair Rd Ste 800 , Statesboro GA 30458-0800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Dykes, Michael D can be contacted via phone (800) 827-6536.Contact Information
Primary practice address
1601 Fair Rd Ste 800
Statesboro GA 30458-0800
Phone: (800) 827-6536
Fax: (912) 644-5260
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 059148 | Georgia |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 0000026586 | Tennessee |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 05BDLQK | Georgia |
Profile Details
NPI number | 1164456240 |
---|---|
LBN Legal business name | Dykes, Michael D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Jul 22nd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164456240 | NPPES |
Georgia | MEDICAID | 279204128 |
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