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1396787321
KELLIE V LANE
AUGUSTA, GA
NPI
1396787321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA 043233)
Enumeration Date
2006-06-12
Last Update Date
2013-11-06
Business Address
Dr. KELLIE V LANE M.D.
818 SAINT SEBASTIAN WAY SUITE 311
AUGUSTA, GA 30901-2651
Phone number: 706-724-3473
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Mailing Address
Dr. KELLIE V LANE M.D.
4354 DEERWOOD LN
EVANS, GA 30809-4604
Phone number: 706-210-1449
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