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NPI Code Detail

MEDICARE: DR. CARL W. LYNN D.C.

MEDICARE: DR. CARL W. LYNN D.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
1111N00000XChiropractorCHIR001944GA

General Provider Information

NPI Number : 1194724815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARL W. LYNN D.C.
Provider Business Mailing Address
First Line : PO BOX 561
Second Line :
City : CLAYTON
State : GA
Zip : 30525-0015
Country : US
Telephone Number : 706-782-7005
Fax Number : 877-525-2590
Provider Business Practice Location Address
First Line : 156 N MAIN ST
Second Line :
City : CLAYTON
State : GA
Zip : 30525-4266
Country : US
Telephone Number : 706-782-7005
Fax Number : 877-525-2590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 03/29/2024

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