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Organization
TREE LANE INPATIENT SERVICES LLC
Active
Organization
TREE LANE INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BRYNE M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2011
Last updated
06/04/2014
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