Individual
RONALD SETH VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
19 REDMOND RD NW, ROME, GA 30165-1533
(762) 235-3960
(706) 233-8505
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN258955
GA
Other
Enumeration date
03/23/2020
Last updated
02/14/2023
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