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LYCHANNEL HEAD

Specialist

NPI: 1871163097Individual

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

1952405052(GA)

Nurse Practitioner — Family

Code: 363LF0000X

F06211529(GA)

CMS Specialties

Education

OTHER

Class of 2022

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Contact & Hours

Address
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253

Quick Facts

NPI
1871163097
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
4

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