Charles Dyas Jr. (NPI# 1487697314, PAC ID# 7113019639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1487697314 |
PAC ID by PECOS | 7113019639 |
Professional Enrollment ID | I20111111000566 |
Full Name | Charles Dyas Jr. |
Address |
2860 Dauphin St Suite A Mobile AL 36606-2415 |
Gender | M |
Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
Graduation Year | 1974 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010113 | MOBILE INFIRMARY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2860 Dauphin St, Suite A, Mobile, AL 36606-2415 |
Street Address |
2860 DAUPHIN ST SUITE A |
City | MOBILE |
State | AL |
Zip | 36606-2415 |
Name | Specialty | Organization | Address |
---|---|---|---|
David J Borcicky | Podiatry | 2152 Airport Blvd, Suite 106, Mobile, AL 36606-1751 | |
Georgia Lee Beale | Physical Therapy | 6 Benedict Pl, Key Office, Mobile, AL 36606-1908 | |
Carter A Smith | Chiropractic | 2056 Dauphin St, Mobile, AL 36606-1929 | |
Jack C Carney | Psychologist, Clinical | Clarity Health, LLC | 2054 Dauphin St, Mobile, AL 36606-1929 |
Cristal Elizabeth Weeks | Psychologist, Clinical | Clarity Health, LLC | 2054 Dauphin St, Mobile, AL 36606-1929 |
Christine M Avinger | Nurse Practitioner | Mid-south Home Care Services, LLC | 2800 Dauphin St, Suite 103, Mobile, AL 36606-2400 |
Gayle S Fredere | Certified Registered Nurse Anesthetist (crna) | Anesthesiacare PC | 2890 Dauphin St, Mobile, AL 36606-2457 |
Margaret E Ishee | Certified Registered Nurse Anesthetist (crna) | Anesthesiacare PC | 2890 Dauphin St, Mobile, AL 36606-2457 |
Fred Brackett | Certified Registered Nurse Anesthetist (crna) | Anesthesiacare PC | 2890 Dauphin St, Mobile, AL 36606-2457 |
James M Royals | Certified Registered Nurse Anesthetist (crna) | Anesthesiacare PC | 2890 Dauphin St, Mobile, AL 36606-2457 |
Find all physicians in zip 36606 |
City | MOBILE |
Zip Code | 36606 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | MOBILE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Charles Dyas Jr..
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.