Individual
DR. KAYLN TIFFANY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1361 JENNINGS MILL RD STE 201, BOGART, GA 30622-2592
(706) 316-1908
(706) 316-2062
Mailing address
1361 JENNINGS MILL RD STE 201, BOGART, GA 30622-2592
(706) 316-1908
(706) 316-2062
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
59092
GA
2084P0800X
Psychiatry Physician
Primary
059092
GA
2084P0804X
Child & Adolescent Psychiatry Physician
059092
GA
Other
Enumeration date
01/28/2008
Last updated
01/25/2011
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