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Individual

MORGAN LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MIMOSA DR FL 3, THOMASVILLE, GA 31792-6676
(229) 226-8881
Mailing address
111 N BROAD ST STE 202, THOMASVILLE, GA 31792-5178
(229) 344-4315

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
89612
GA
208600000X
Surgery Physician
LL38530
SC

Other

Enumeration date
04/22/2015
Last updated
08/04/2021
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