MEDICARE: DYAD CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	171400000X	Health & Wellness Coach
3	225700000X	Massage Therapist
4	174N00000X	Lactation Consultant (Non-RN)
5	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1376103069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYAD CARE, LLC

Provider Business Mailing Address
First Line	:	327 DAHLONEGA ST STE B1804
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-8217
Country	:	US
Telephone Number	:	229-360-6676
Fax Number	:	470-600-0925

Provider Business Practice Location Address
First Line	:	327 DAHLONEGA ST STE B1804
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-8217
Country	:	US
Telephone Number	:	229-360-6676
Fax Number	:	470-600-0925

Authorized Official
Title or Position	:	OWNER/ALLIED HEALTH PROFESSIONAL
Name	:	MCKALE ASHLEY FLEMING
Credential	:	BA, IBCLC, LMT
Telephone Number	:	229-360-6676

Provider Enumeration Date	:	06/16/2019
Last Update Date	:	09/15/2025

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Directions to “DYAD CARE, LLC ” Practice Location

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