Spinnato, Dyan M

Spinnato, Dyan M is an individual health care provider with primary practice located at 4321 University Pkwy Suite 104, Evans GA 30809-3058. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Spinnato, Dyan M can be contacted via phone (706) 854-2600.

Contact Information

Primary practice address
4321 University Pkwy Suite 104 Evans GA 30809-3058
Fax: (706) 854-2601
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 05236 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 052636 Georgia

Profile Details

NPI number 1073551503
LBN Legal business name Spinnato, Dyan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 8th, 2012 - about 13 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 1073551503 NPPES
Georgia MEDICAID 190988196C
Georgia MEDICAID 190988196A

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