Individual
PATRICIA MARIE DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5353 REYNOLDS ST STE 107, SAVANNAH, GA 31405-6089
(912) 819-7630
(912) 819-5860
Mailing address
PO BOX 11407 DEPT #1622, BIRMINGHAM, AL 35246-1622
(912) 819-8427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4589
GA
363A00000X
Physician Assistant
TL3290
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257354264A
—
GA
Enumeration date
07/17/2006
Last updated
02/14/2024
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