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Individual

DR. COLLINS THOMAS LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 767-4440
(912) 767-0558
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 767-4440
(912) 767-0558

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN010409
GA

Other

Enumeration date
03/02/2007
Last updated
06/30/2016
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