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Individual

DR. SHAY DANIELS LYKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
78 RIVER TER, ELLIJAY, GA 30540-5502
(706) 698-3384
(706) 698-3383
Mailing address
78 RIVER TER, ELLIJAY, GA 30540-5502
(706) 698-3384
(706) 698-3383

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012553
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000945865B
GA
Enumeration date
07/15/2006
Last updated
12/15/2015
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