MS. Alberta Canady Lane, P.A,

NPI #1083644538 in Decatur, Georgia

Provider Information

NPI Number
1083644538
Entity Type
Individual
Name
MS. Alberta Canady Lane, P.A,
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A,
Enumeration Date
Jul 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1670 CLAIRMONT RD
Address 2
111B
State
Georgia
ZIP Code
30033-4004
Phone
(404) 321-6111

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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