Individual
DR. LYNN BAXTER MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
129 CHERRY ST, COCHRAN, GA 31014
(478) 934-7557
(478) 934-0093
Mailing address
PO BOX 805, 129 CHERRY ST, COCHRAN, GA 31014-0805
(478) 934-7557
(478) 934-0093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9956
GA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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