Dyke, Marc Mitchell

Dyke, Marc Mitchell is an individual health care provider with primary practice located at 1035 Red Bud Rd Ne , Calhoun GA 30701-6008. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dyke, Marc Mitchell can be contacted via phone (706) 879-4776.

Contact Information

Primary practice address
1035 Red Bud Rd Ne Calhoun GA 30701-6008
Phone: (706) 879-4776
Fax: (706) 879-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN096589 Georgia

Profile Details

NPI number 1518996438
LBN Legal business name Dyke, Marc Mitchell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Dec 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518996438 NPPES
Georgia MEDICAID 000550877J
Georgia MEDICAID 000550877K

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