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Matthew Gregory Dykes, PA-C

Physician Assistant, Medical in Ocean Springs, MS. Individual provider (NPI-1).

NPI number1548596166
StatusActive
Last updated in NPPESMay 2, 2022

Details

NPI
1548596166
Entity type
Individual (NPI-1)
Name
Matthew Gregory Dykes
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 2, 2009
Certification date
May 2, 2022
Last updated
May 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA000124MSYes

Practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Phone 228-872-6291 · Fax 228-872-7627

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Phone 228-872-6291 · Fax 228-872-7627

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