Provider Demographics
NPI:1447474184
Name:DENNY, LYNN TAYLOR (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:TAYLOR
Last Name:DENNY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:250 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3490
Mailing Address - Country:US
Mailing Address - Phone:478-301-2362
Mailing Address - Fax:478-301-2272
Practice Address - Street 1:1327 STADIUM DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31207-5900
Practice Address - Country:US
Practice Address - Phone:478-301-2382
Practice Address - Fax:478-301-2391
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-10-03
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Provider Licenses
StateLicense IDTaxonomies
GA50155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA50155OtherGEORGIA LICENSE
GABD6083555OtherDEA
GABD6083555OtherDEA