Lane, Barbara Mallory
Lane, Barbara Mallory is an individual health care provider with primary practice located at 4233 Camelot Crossing , Valdosta GA 31602-6926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Lane, Barbara Mallory can be contacted via phone (229) 469-4383.Contact Information
Primary practice address
4233 Camelot Crossing
Valdosta GA 31602-6926
Phone: (229) 469-4383
Fax: (229) 469-4584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | RN203145 | Georgia |
Profile Details
| NPI number | 1003699240 |
|---|---|
| LBN Legal business name | Lane, Barbara Mallory |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2023 |
| Last updated | Oct 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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