Individual
MRS. DEBORAH PARDUE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 N MAIN ST, CLEVELAND, GA 30528-1127
(706) 865-2525
(706) 219-1355
Mailing address
379 N MAIN ST, CLEVELAND, GA 30528-1127
(706) 865-2525
(706) 219-1355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11527
GA
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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