| Lance K. Dyess, Md | |
|
918 Drayton Ave Elba AL 36323-1448 | |
| (334) 897-2207 | |
| (334) 897-3476 |
| Full Name | Lance K. Dyess, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 918 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Ellen C Briley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3348972257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance K. Dyess, Md 918 Drayton Ave Elba AL 36323-1448 Ph: (334) 897-2207 | Lance K. Dyess, Md 918 Drayton Ave Elba AL 36323-1448 Ph: (334) 897-2207 |
| NPI Number | 1972653210 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972653210 | NPI | - | NPPES |
| 0510078620 | Other | AL | BCBS OF AL |
| 009918640 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10790 (Alabama) | Primary |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-493-5713 | |
Elba Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 987 Drayton Ave, Elba, AL 36323 Phone: 334-897-2257 | |
First Med Of Elba Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 Larkin Rd, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-853-0128 | |
Jason D. Tucker, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 | |
Joyce P. Goetsch, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 | |
Dr. Glenn Roberts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 Drayton Ave, Elba, AL 36323 Phone: 334-897-2597 Fax: 334-897-6662 |