Lay, Dwayne

Lay, Dwayne is an individual health care provider with primary practice located at 10515 Bells Ferry Rd Ste 200 , Canton GA 30114-4242. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Lay, Dwayne can be contacted via phone (770) 765-5828.

Contact Information

Primary practice address
10515 Bells Ferry Rd Ste 200 Canton GA 30114-4242
Phone: (770) 765-5828
Fax: (678) 388-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD001230 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001230 Georgia

Profile Details

NPI number 1356549141
LBN Legal business name Lay, Dwayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Feb 13th, 2022 - about 2 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 1356549141 NPPES
Georgia Other 824638527 BCBSGA, UNITED HEALTHCARE, AETNA, HUMANA, CIGNA

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