| NPI | 1073539938 |
|---|---|
| Doing Business As | HERMAN WESLEY DYKES JR DO |
| Entity Type | Organization |
| Authorized Contact | ANGIE QUALLS Administrator 901-751-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 3926223) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-11-19 |