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1154376192
KELLY LANE
ATLANTA, GA
NPI
1154376192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 3001)
Enumeration Date
2006-05-24
Last Update Date
2022-06-06
Business Address
KELLY LANE PAA
5445 MERIDIAN MARK RD STE 340
ATLANTA, GA 30342-4766
Phone number: 404-785-5650
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Mailing Address
KELLY LANE PAA
5445 MERIDIAN MARK RD STE 340
ATLANTA, GA 30342-4766
Phone number: 404-785-5650
Copy
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