BARBARA MALLORY LANE

VALDOSTA, GA
NPI1003699240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
(Licence: GA  RN203145)
Enumeration Date2023-08-14
Last Update Date2023-10-26
Business Address
BARBARA MALLORY LANE NP
4233 CAMELOT CROSSING
VALDOSTA, GA 31602-6926
Phone number: 229-469-4383
Mailing Address
BARBARA MALLORY LANE NP
4233 CAMELOT CROSSING
VALDOSTA, GA 31602-6926
Phone number: 229-469-4383