| Mt Vernon Family Medicine | |
|
1705 Mount Vernon Rd Ste A Dunwoody GA 30338-4257 | |
| (770) 350-9100 | |
| (770) 350-9226 |
| Full Name | Mt Vernon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 Mount Vernon Rd Ste A, Dunwoody, Georgia |
| Authorized Official Name and Position | Charles Bradley Lyons (OWNER) |
| Authorized Official Contact | 7703509100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Vernon Family Medicine 1705 Mount Vernon Rd Ste A Dunwoody GA 30338-4257 Ph: (770) 350-9100 | Mt Vernon Family Medicine 1705 Mount Vernon Rd Ste A Dunwoody GA 30338-4257 Ph: (770) 350-9100 |
| NPI Number | 1982964219 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982964219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 037603 (Georgia) | Primary |
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