Love, Dexter Wayne

Love, Dexter Wayne is an individual health care provider with primary practice located at 4 Live Oak Ct , Moultrie GA 31768-6783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Love, Dexter Wayne can be contacted via phone (229) 502-9730.

Contact Information

Primary practice address
4 Live Oak Ct Moultrie GA 31768-6783
Phone: (229) 502-9730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0072717 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 079989 Georgia

Profile Details

NPI number 1366583270
LBN Legal business name Love, Dexter Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 1st, 2023 - about last year

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 1366583270 NPPES
Maryland Other P01656331 RR MEDICARE
Maryland MEDICAID 003205728A RR MEDICARE

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