Individual
JOEY DARRELL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 PARKWOOD DR, BRUNSWICK, GA 31520-4722
(912) 466-7000
Mailing address
478 SLOAN HILL RD, HORTENSE, GA 31543-9851
(912) 506-9561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347041
NC
163W00000X
Registered Nurse
Primary
RN711431
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
5024599
NC
Other
Enumeration date
08/30/2025
Last updated
06/07/2026
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