Organization
464 WELLNESS SOLUTIONS LLC
Active
Other names
Lane Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA LANE NP (CEO)
(706) 207-5860
Entity
Organization
Contact information
Practice address
3184 TURMAN RD, EDISON, GA 39846-7407
(706) 916-7716
Mailing address
PO BOX 822, COOLIDGE, GA 31738-0822
(706) 916-7716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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