Individual provider · Type 1 NPI

Alberta Canady Lane, P.A

Medical Physician Assistant · Decatur, GA

NPI number 1083644538 Active

Practice location

1670 Clairmont Rd, 111B
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Fax (404) 329-2211

Mailing address

3698 Embry Cir
Atlanta, GA 30341-4355

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X615 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1083644538

Alberta Canady Lane, P.A's National Provider Identifier is 1083644538, issued on Jul 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.