| Dr John R Dykers Jr | |
|
401a N Ivey Ave Siler City NC 27344 | |
| (919) 663-2931 | |
| (919) 663-2751 |
| Full Name | Dr John R Dykers Jr |
|---|---|
| Speciality | General Practice |
| Location | 401a N Ivey Ave, Siler City, North Carolina |
| Authorized Official Name and Position | John R Dykers (OWNER) |
| Authorized Official Contact | 9196632931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Dykers Jr Po Box 565 401a N Ivey Ave Siler City NC 27344-0565 Ph: (919) 663-2931 | Dr John R Dykers Jr 401a N Ivey Ave Siler City NC 27344 Ph: (919) 663-2931 |
| NPI Number | 1629263165 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629263165 | NPI | - | NPPES |
| 590156V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 11837 (North Carolina) | Primary |
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