Individual
MS. LYNN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
998 N JEFFERSON ST NE UNIT B, MILLEDGEVILLE, GA 31061-2929
(478) 453-4358
Mailing address
400 PINE VALLEY RD, SPARTA, GA 31087-7136
(478) 453-4358
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO108434
GA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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