Carl Lane M.D.

NPI 1821414574 - General Practice - 208D00000X

NPI Details
NPI 1821414574
Gender Male
Enumeration Date 03/05/2014
Last Updated 03/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1123 BRENT RD
BARNESVILLE GA, 30204-3611, US
Phone (770) 584-4355
Fax
Business Location
1123 BRENT RD
BARNESVILLE GA, 30204-3611, US
Phone (770) 584-4355
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 20330
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According to our database, Dr. Carl Lane M.D. NPI is 1821414574, taxonomy code is 208D00000X and license number is 20330, license state is located at Georgia. Carl Lane M.D. physically located at 1123 Brent Rd, Barnesville GA, 30204-3611. NPI Number Carl Lane M.D. has the Individual type.

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1821414574 NPI number is provided on an as is basis without warranty of any kind. 1821414574 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Lane M.D. are for informational purposes only.