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LYCHANNEL HEAD
Specialist
NPI: 1871163097Individual
Specialties, Licenses & Credentials
SpecialistPrimary
Specialist
Code: 174400000X
1952405052(GA)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
F06211529(GA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 1631 HIGHWAY 20 W
MCDONOUGH, GA 30253 - Phone
- (770) 288-2822
Quick Facts
- NPI
- 1871163097
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
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