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DR. LYNN BAXTER MULLIS DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1013007400

Individual Registrant:
DR. LYNN BAXTER MULLIS DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
129 CHERRY ST  COCHRAN, GA 31014 US
Tel: 478-934-7557  Fax: 478-934-0093

Contact information for business:
PO BOX 805 129 CHERRY ST COCHRAN, GA 31014-0805 US
Tel: 478-934-7557  Fax: 478-934-0093

Registration Information:
NPI: 1013007400
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA9956

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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