Individual
AMBER DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
Mailing address
219 HUNTER HILLS CIR APT 15, BRISTOL, TN 37620-5416
(423) 444-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12764
NC
363A00000X
Physician Assistant
2837
TN
Other
Enumeration date
09/10/2015
Last updated
03/09/2023
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