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NPI Code Detail

MEDICARE: HUNTER E LYNN PA-C

MEDICARE: HUNTER E LYNN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1184226706
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER E LYNN PA-C
Provider Business Mailing Address
First Line : 9296 KENNEDY BRIDGE RD
Second Line :
City : CLAXTON
State : GA
Zip : 30417-2830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 E 1ST ST # A
Second Line :
City : VIDALIA
State : GA
Zip : 30474-8674
Country : US
Telephone Number : 912-537-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 11/09/2020

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Directions to “ HUNTER E LYNN PA-C” Practice Location

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