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Individual

SEAN R LINDSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4122 E PONCE DE LEON AVE STE 5, CLARKSTON, GA 30021-1838
(470) 799-0044
(470) 799-0045
Mailing address
PO BOX 1157, CLARKSTON, GA 30021-7157

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
078484
GA
207R00000X
Internal Medicine Physician
54503
TN
208000000X
Pediatrics Physician
078484
GA
208000000X
Pediatrics Physician
54503
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003194779F
GA
Enumeration date
05/07/2012
Last updated
11/26/2019
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