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Individual

DR. TANDA NICHOLE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 322-1717
(706) 322-1718

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
000893
GA

Other

Enumeration date
03/04/2007
Last updated
03/27/2012
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