Healthcare Provider Details

I. General information

NPI: 1669418927
Provider Name (Legal Business Name): FRANCINE D DYKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCINE D DUDA

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 UPPERGATE DR 3RD FL
ATLANTA GA
30322
US

IV. Provider business mailing address

2015 UPPERGATE DR 3RD FL
ATLANTA GA
30322
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-3360
  • Fax: 404-727-3236
Mailing address:
  • Phone: 404-727-3360
  • Fax: 404-727-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number019670
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: