Mt Vernon Family Medicine

NPI #1982964219 in Dunwoody, Georgia

Provider Information

NPI Number: 1982964219
Entity Type: Organization
Organization Name: Mt Vernon Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 1705 MOUNT VERNON RD STE A
City: Dunwoody
State: Georgia
ZIP Code: 30338-4257
Phone: (770) 350-9100

Authorized Official

Name: CHARLES BRADLEY LYONS, D.O.
Title: OWNER
Phone: (770) 350-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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