Lane, Tanda Nichole

Lane, Tanda Nichole is an individual health care provider with primary practice located at 1210 Brookstone Centre Pkwy , Columbus GA 31904-2954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Lane, Tanda Nichole can be contacted via phone (706) 322-1717.

Contact Information

Primary practice address
1210 Brookstone Centre Pkwy Columbus GA 31904-2954
Fax: (706) 322-1718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 000893 Georgia

Profile Details

NPI number 1891824108
LBN Legal business name Lane, Tanda Nichole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Mar 27th, 2012 - about 13 years ago

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.

Request for update

Popular Providers