| Lyons Family Practice | |
|
113 Moody Cir Lyons GA 30436-1428 | |
| (912) 526-6567 | |
| (912) 526-0471 |
| Full Name | Lyons Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 113 Moody Cir, Lyons, Georgia |
| Authorized Official Name and Position | John Milton Moody (OWNER) |
| Authorized Official Contact | 9125266567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyons Family Practice 113 Moody Cir Lyons GA 30436-1428 Ph: (912) 526-6567 | Lyons Family Practice 113 Moody Cir Lyons GA 30436-1428 Ph: (912) 526-6567 |
| NPI Number | 1194909010 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194909010 | NPI | - | NPPES |
| 000478596G | Medicaid | GA | |
| 034904 | Other | GA | GEORGIA STATE BOARD OF MEDICAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lyons Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Moody Cir, Lyons, GA 30436 Phone: 912-526-0073 | |
R T Stanley Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Rt Stanley Sr Pl, Lyons, GA 30436 Phone: 912-526-9355 Fax: 912-526-8622 |