Individual
DR. JOSHUA ALTON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3736 MIKE PADGETT HWY STE A, AUGUSTA, GA 30906-0720
(706) 868-0389
(888) 977-2990
Mailing address
1245 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 868-0389
(706) 651-0729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65698
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120012B
—
GA
Enumeration date
06/23/2009
Last updated
11/12/2016
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