Individual
MR. ANTHONY-LYNN KIRKLAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4570 PIO NONO AVE, MACON, GA 31206-5062
(678) 208-3095
Mailing address
PO BOX 3833, MACON, GA 31205-3833
(678) 208-3095
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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