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1487804001
LONNIE C. DALTON
STONE MOUNTAIN, GA
NPI
1487804001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 13368)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
Dr. LONNIE C. DALTON D.O.
6124 KINGS MOUNTAIN CT
STONE MOUNTAIN, GA 30087-1920
Phone number: 770-923-1629
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Mailing Address
Dr. LONNIE C. DALTON D.O.
6124 KINGS MOUNTAIN CT
STONE MOUNTAIN, GA 30087-1920
Phone number: 770-923-1629
Copy
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