Dr LYLE C DORMAN CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2003 from Medical College Of Georgia.
AMS SOUTHEAST LLC
2260 WRIGHTSBORO RD
AUGUSTA
GA
309044764
Tel: 7064817000
| Npi | 1912951278 |
| Pac Id | 7517935877 |
| Professional Enrollment Id | I20040923000852 |
| Last Name | DORMAN |
| First Name | LYLE |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | CNA |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
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| Organization Legal Name | AMS SOUTHEAST LLC |
| Group Practice Pac Id | 3870880792 |
| Number Of Group Practice Members | 61 |
| Line 1 Street Address | 2260 WRIGHTSBORO RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AUGUSTA |
| State | GA |
| Zip Code | 309044764 |
| Phone Number | 7064817000 |
| Hospital Affiliation Ccn 1 | 110125 |
| Hospital Affiliation Lbn 1 | FAIRVIEW PARK HOSPITAL |
| Hospital Affiliation Ccn 2 | 110128 |
| Hospital Affiliation Lbn 2 | MEADOWS REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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