Individual
LANE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 349-8145
(478) 237-5060
Mailing address
140 JOE UNDERWOOD RD, TWIN CITY, GA 30471-4214
(478) 494-0670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023938
GA
Other
Enumeration date
10/30/2020
Last updated
08/02/2022
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