TADD LANE

COLUMBIA, SC
NPI1881252328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22660)
Enumeration Date2019-05-30
Last Update Date2022-11-03
Business Address
TADD LANE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
TADD LANE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909