Individual
BARBARA MALLORY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3541 N CROSSING CIR, VALDOSTA, GA 31602-1019
(229) 244-4200
(229) 244-4995
Mailing address
3541 N CROSSING CIR, VALDOSTA, GA 31602-1019
(229) 244-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RN203145
GA
Other
Enumeration date
08/14/2023
Last updated
10/16/2025
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