Individual
CAROLE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
172 FOLLINS LN, ST SIMONS ISLAND, GA 31522-4268
(912) 634-2795
(912) 638-5636
Mailing address
172 FOLLINS LN, ST SIMONS ISLAND, GA 31522-4268
(912) 634-2795
(912) 638-5636
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN126681
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760966B
—
GA
Enumeration date
09/20/2006
Last updated
07/09/2007
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