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1043215999
KENNETH EUGENE LYDA
ATLANTA, GA
NPI
1043215999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 124797)
Enumeration Date
2005-06-16
Last Update Date
2011-05-16
Business Address
-- KENNETH EUGENE LYDA FNP
275 COLLIER RD NW STE 500
ATLANTA, GA 30309-1709
Phone number: 404-605-2800
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Mailing Address
-- KENNETH EUGENE LYDA FNP
275 COLLIER RD NW STE 500
ATLANTA, GA 30309-1709
Phone number: 404-605-2800
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