Provider Demographics
NPI:1740549138
Name:LYNN, PATRICK JAY (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:JAY
Last Name:LYNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:304 SHORTER AVE NW STE 201
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-4256
Mailing Address - Country:US
Mailing Address - Phone:706-509-3300
Mailing Address - Fax:706-509-3301
Practice Address - Street 1:304 SHORTER AVE NW
Practice Address - Street 2:SUITE 201
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-4290
Practice Address - Country:US
Practice Address - Phone:706-509-3300
Practice Address - Fax:706-509-3301
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2023-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.41937207Q00000X
GA070480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine