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Individual

DR. DEMETRICE LYLES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 776-4000
Mailing address
415 ARMOUR DR NE APT 8001, ATLANTA, GA 30324-3957

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92317
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2019
Last updated
09/19/2023
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