Aaron, Demetria Lynne

Aaron, Demetria Lynne is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Aaron, Demetria Lynne can be contacted via phone (404) 303-1224.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (404) 303-1224
Fax: (404) 303-1325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 078201 Georgia

Profile Details

NPI number 1881888915
LBN Legal business name Aaron, Demetria Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Mar 26th, 2019 - about 5 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 1881888915 NPPES
Georgia Other GRP3569 OPT-OUT
Georgia MEDICAID 300034164A OPT-OUT

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