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1891824108
TANDA NICHOLE LANE
COLUMBUS, GA
NPI
1891824108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207NS0135X Dermatology, Procedural Dermatology
(Licence: GA 000893)
Enumeration Date
2007-03-04
Last Update Date
2012-03-27
Business Address
Dr. TANDA NICHOLE LANE M.D.
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904-2954
Phone number: 706-322-1717
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Mailing Address
Dr. TANDA NICHOLE LANE M.D.
1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904-2954
Phone number: 706-322-1717
Copy
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