Individual
MARY CLAIRE DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 MERIDIAN MARK RD STE 130, ATLANTA, GA 30342-3009
(404) 255-2033
Mailing address
5461 MERIDIAN MARK RD STE 130, ATLANTA, GA 30342-3009
(404) 255-2033
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN239715
GA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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