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Individual

MRS. CAROL P LYERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 781-9937
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 781-9937

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN116155 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN116155 NP
NP LICENSE
GA
Enumeration date
07/07/2005
Last updated
01/11/2010
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