Vandyck, Peter Frandsen

Vandyck, Peter Frandsen is an individual health care provider with primary practice located at 3320 Old Jefferson Rd Building 600, Athens GA 30607-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Vandyck, Peter Frandsen can be contacted via phone (706) 549-4155.

Contact Information

Primary practice address
3320 Old Jefferson Rd Building 600 Athens GA 30607-1400
Phone: (706) 549-4155
Fax: (706) 546-0036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 27679 Georgia

Profile Details

NPI number 1669537197
LBN Legal business name Vandyck, Peter Frandsen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 7th, 2019 - about 6 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 1669537197 NPPES
Georgia MEDICAID 00384997B
Georgia Other 52022022

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