| Dr Thomas Robert Dyar, MD | |
|
1351 Crestview Rd, Easley, SC 29642-2408 | |
| (864) 855-5006 | |
| (864) 850-0240 |
| Full Name | Dr Thomas Robert Dyar |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1351 Crestview Rd, Easley, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679563852 | NPI | - | NPPES |
| 194961 | Medicaid | SC | |
| 003175707B | Medicaid | GA | |
| 003175707A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 047311 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 19496 (South Carolina) | Primary |
| Entity Name | Obhg South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538457361 PECOS PAC ID: 7012182504 Enrollment ID: O20111212000681 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Robert Dyar, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Thomas Robert Dyar, MD 1351 Crestview Rd, Easley, SC 29642-2408 Ph: (864) 855-5006 |
Lafloyd Hueston Hobbs Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1351 Crestview Rd, Easley, SC 29642 Phone: 864-855-5006 Fax: 864-850-1992 | |
Herbert R Squires, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 403 Hillcrest Dr, Suite A, Easley, SC 29640 Phone: 864-855-2737 Fax: 864-855-2221 | |
Michelle Leigh Tucker, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1351 Crestview Road, Easley, SC 29642 Phone: 864-855-5006 Fax: 864-850-1992 | |
Dr. John Movius Warren Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 403 Hillcrest Dr, Suite A, Easley, SC 29640 Phone: 864-855-2737 Fax: 864-855-2221 | |
Mrs. Ariel Cherie Walker, CNM, APRN Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 112 John St Ste 103, Easley, SC 29640 Phone: 864-855-2737 Fax: 864-855-4787 |