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1265491179
DORNER LEE CARMICHAEL
MACON, GA
NPI
1265491179
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Former Name
DORNER LEE TICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 000211)
Enumeration Date
2006-03-20
Last Update Date
2023-03-07
Business Address
-- DORNER LEE CARMICHAEL PA-C
764 PINE ST
MACON, GA 31201-2107
Phone number: 478-633-1696
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Mailing Address
-- DORNER LEE CARMICHAEL PA-C
598 3RD ST
MACON, GA 31201-3357
Phone number: 478-633-6706
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