Individual
ANGELA MICHELLE VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7037 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 732-0963
(803) 732-1406
Mailing address
109 FARMHOUSE CT, LEXINGTON, SC 29072-2793
(803) 622-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77820
SC
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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