Ms Alice Sue Dial, LPN is a
Licensed Practical Nurse based in Lafayette, Georgia. Ms Alice Sue Dial is licensed to practice in Georgia (license number LPN025745) and her current practice location is
501 Mize St., Lafayette, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 638-5591.
NPI number for Ms Alice Sue Dial is 1669591384 and her current mailing address is Po Box 1027, Lafayette, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669591384.
Provider's Profile
| Full Name | Ms Alice Sue Dial |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 501 Mize St., Lafayette, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669591384
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Alice Sue Dial such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669591384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN025745 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Alice Sue Dial is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Alice Sue Dial, LPN
Po Box 1027,
Lafayette, GA 30728-1027
Ph: (706) 638-5591 | Ms Alice Sue Dial, LPN
501 Mize St.,
Lafayette, GA 30728
Ph: (706) 638-5591 |
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