Individual
SHERRY A LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3775 VENTURE DR BLDG F, DULUTH, GA 30096-5102
(404) 947-6522
Mailing address
6500 HALCYON WAY APT 101, ALPHARETTA, GA 30005-2393
(404) 667-9227
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1797
GA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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