MEREDITH MACMILLAN DYER P.A. NPI 1962565887

NPI Information

NPI: 1962565887
Provider Name: MEREDITH MACMILLAN DYER, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
11700 MERCY BLVD
BLDG 6
SAVANNAH, GA
ZIP 31419
Phone: (912) 961-8647
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Meredith Macmillan Dyer, P.A. is a medical physician assistant in Savannah, GA. Meredith Macmillan Dyer, P.A. NPI is 1962565887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11700 MERCY BLVD
BLDG 6
SAVANNAH, GA
ZIP 31419-753
Phone: (912) 961-8647

The enumeration date for this NPI number is 12/19/2006 and was last updated on 6/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4945	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	681257393A	MEDICAID	GEORGIA
2	Q74466	MEDICARE UPIN	GEORGIA
3	97WCJGL	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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