| Thaddeus K Lynn, M.d., P.c. | |
|
8495 Dunwoody Pl Building 9, Suite 100 Atlanta GA 30350-3321 | |
| (770) 817-8423 | |
| (770) 817-8424 |
| Full Name | Thaddeus K Lynn, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 8495 Dunwoody Pl, Atlanta, Georgia |
| Authorized Official Name and Position | Thaddeus Kedron Lynn (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6787737419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus K Lynn, M.d., P.c. 8495 Dunwoody Pl Building 9, Suite 100 Atlanta GA 30350-3321 Ph: (770) 817-8423 | Thaddeus K Lynn, M.d., P.c. 8495 Dunwoody Pl Building 9, Suite 100 Atlanta GA 30350-3321 Ph: (770) 817-8423 |
| NPI Number | 1336492727 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 04/27/2015 |
| Medicare PECOS PAC ID | 8628229762 |
|---|---|
| Medicare Enrollment ID | O20121119000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336492727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 059670 (Georgia) | Primary |
| Provider Name | Thaddeus K Lynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114182458 PECOS PAC ID: 0941456180 Enrollment ID: I20120803000473 |
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