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NPI Code Detail

MEDICARE: DR. THOMAS ROBERT DYAR MD

MEDICARE: DR. THOMAS ROBERT DYAR MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician047311GA
2207V00000XObstetrics & Gynecology Physician19496SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679563852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ROBERT DYAR MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 1351 CRESTVIEW RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-2408
Country : US
Telephone Number : 864-855-5006
Fax Number : 864-850-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 05/13/2021

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Directions to “ DR. THOMAS ROBERT DYAR MD” Practice Location

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