Provider Demographics
NPI:1710069034
Name:DYKES, THOMAS EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:DYKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5236 TILTON DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7079
Mailing Address - Country:US
Mailing Address - Phone:580-695-9276
Mailing Address - Fax:
Practice Address - Street 1:300 EAST HOSPITAL DRIVE
Practice Address - Street 2:EISENHOWER ARMY MEDICAL CENTER
Practice Address - City:FT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-2862
Practice Address - Fax:706-787-2598
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2013-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD29968208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology