Individual
LYNN P DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
11 UPPER RIVERDALE RD., RIVERDALE, GA 30274-1254
(770) 478-9877
Mailing address
671 E COLLEGE ST, GRIFFIN, GA 30224-4356
(770) 227-6141
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
R069772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000338AA
—
GA
Enumeration date
11/22/2005
Last updated
11/07/2015
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