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Individual

DR. LONNIE C. DALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6124 KINGS MOUNTAIN CT, STONE MOUNTAIN, GA 30087-1920
(770) 923-1629
(770) 921-5626
Mailing address
6124 KINGS MOUNTAIN CT, STONE MOUNTAIN, GA 30087-1920
(770) 923-1629
(770) 921-5626

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13368
GA

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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