Individual
JASON LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 S TALLAHASSEE ST, HAZLEHURST, GA 31539
(912) 375-3095
(912) 375-0064
Mailing address
PO BOX 730, HAZLEHURST, GA 31539-0730
(912) 375-3095
(912) 375-7973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69060
GA
Other
Enumeration date
04/19/2010
Last updated
06/28/2019
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