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Individual

DR. LYNETTE S JATTAN-CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7138 HIGHWAY 212 STE C, COVINGTON, GA 30016-8047
(770) 788-1554
Mailing address
1277B WELLBROOK CIR NE, CONYERS, GA 30012-3873
(770) 922-5745
(770) 922-4924

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040421
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000673373A
GA
Enumeration date
01/08/2007
Last updated
10/28/2021
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