Individual
CARLEY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 812-3000
Mailing address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 812-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN304004
GA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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