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Stephanie Van Dine
Family Nurse Practitioner in Macon, Georgia
NPI 1588153498

Stephanie Van Dine is a Family Nurse Practitioner based in Milledgeville, GA and is specialized in Family. Stephanie Van Dine practices in Macon, GA. The NPI Number for Stephanie Van Dine is 1588153498 and holds a License No. RN275921 (Georgia).

The current practice location address for Stephanie Van Dine is 6070 Lakeside Commons Dr, Macon, GA and can be reached out via phone at 478-254-2644.

Location: 6070 Lakeside Commons Dr, Macon, GA, 31061-7068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588153498
Provider Name
Stephanie Van Dine
Credential
Provider Entity Type
Individual
Gender
Female
Address
6070 Lakeside Commons Dr, Macon, GA, 31061-7068
Phone Number
478-254-2644
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6070 Lakeside Commons Dr
City
Macon
State
Georgia
Zip
31210-5778
Phone Number
478-254-2644
Fax Number
person
Provider Business Mailing Address Details
Address
6070 Lakeside Commons Dr
City
Macon
State
Georgia
Zip
31210-5778
Phone Number
478-254-2644
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN275921 (Georgia)
Definition
Definition to come...
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