Individual
DR. PHILIP VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606
(706) 548-7581
Mailing address
2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134-6010
(305) 702-5135
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16193
GA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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