Individual
DR. DALVIN ROJHOTTE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2496 COLUMBIA DR, DECATUR, GA 30034-1769
(404) 534-9222
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(866) 474-1934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055613
GA
207R00000X
Internal Medicine Physician
ME93723
FL
Other
Enumeration date
04/22/2007
Last updated
02/11/2014
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