Healthcare Provider Details

I. General information

NPI: 1871276576
Provider Name (Legal Business Name): JOSEPH FLOYD DYER AGNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CABARRUS AVE E STE 200
CONCORD NC
28025-3781
US

IV. Provider business mailing address

60 SUNRISE DR
ASHEVILLE NC
28806-4629
US

V. Phone/Fax

Practice location:
  • Phone: 855-743-2247
  • Fax:
Mailing address:
  • Phone: 952-818-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5018580
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: