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Individual

GARY Z LOTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2296 HENDERSON MILL RD, SUITE 300, ATLANTA, GA 30345
(770) 491-9300
(770) 496-4955
Mailing address
114 TOWNPARK DR NW, SUITE 240, KENNESAW, GA 30144-3715
(770) 952-8612
(678) 803-6944

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
020572
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00210075G
GA
Enumeration date
06/27/2006
Last updated
08/11/2010
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