JUSTIN LANE

AUGUSTA, GA
NPI1346037199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  DN123796)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-24
Last Update Date2025-07-09
Business Address
JUSTIN LANE
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912-0001
Phone number: 706-721-2371
Mailing Address
JUSTIN LANE
2432 CUMMING RD
AUGUSTA, GA 30904-6110
Phone number: 912-687-5807