Individual
DR. MARGO TONEY LANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
727 SE MAIN ST STE 120, SIMPSONVILLE, SC 29681-3248
(864) 454-6700
(864) 454-6705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
87994
SC
390200000X
Student in an Organized Health Care Education/Training Program
11018829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/02/2016
Last updated
12/05/2025
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