Roy, Deanna Lynne

Roy, Deanna Lynne is an individual health care provider with primary practice located at 1505 Lilburn Stone Mountain Rd Ste 100, Stone Mountain GA 30087-1857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roy, Deanna Lynne can be contacted via phone (770) 469-4131.

Contact Information

Primary practice address
1505 Lilburn Stone Mountain Rd Ste 100 Stone Mountain GA 30087-1857
Phone: (770) 469-4131
Fax: (770) 469-3931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34701 Georgia

Profile Details

NPI number 1437197761
LBN Legal business name Roy, Deanna Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437197761 NPPES
Georgia MEDICAID 000469301J

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