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NPI Code Detail

MEDICARE: MARY-KATHERINE LYNCH MD

MEDICARE: MARY-KATHERINE LYNCH MD
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
1207X00000XOrthopaedic Surgery Physician111949GA

General Provider Information

NPI Number : 1043835382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY-KATHERINE LYNCH MD
Provider Business Mailing Address
First Line : 450 NORTHSIDE CHEROKEE BLVD STE 180
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 NORTHSIDE CHEROKEE BLVD STE 180
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number : 770-517-6636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 04/09/2026

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Directions to “ MARY-KATHERINE LYNCH MD” Practice Location

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