Individual
JONATHAN P LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
(229) 377-0930
Mailing address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
(229) 377-0930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060402
GA
207Q00000X
Family Medicine Physician
TL27868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124633161A
—
GA
05
—
278684
—
SC
Enumeration date
07/12/2006
Last updated
11/19/2009
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