Dr. TANDA NICHOLE LANE -- M.D.
Individual Provider (NPI-1)
Active
Dermatology, Procedural Dermatology
Provider Information
- NPI Number
1891824108- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA, 319042954
- Phone
- (706) 322-1717
- Fax
- (706) 322-1718
Specialties & Taxonomies
Dermatology, Procedural Dermatology
Primary License: GA #000893