Provider Demographics
NPI:1629014170
Name:PAXTON, LYNN ALISON (MD, MPH)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ALISON
Last Name:PAXTON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1921
Mailing Address - Country:US
Mailing Address - Phone:404-373-8634
Mailing Address - Fax:404-639-6124
Practice Address - Street 1:305 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1921
Practice Address - Country:US
Practice Address - Phone:404-373-8634
Practice Address - Fax:404-639-6124
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG65641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine