SearchGeorgia106S00000X

Micah Lane

NPI 1467263327 · on the registry since 2025

Practice

Address
2709 Bailey Pl Ne
Conyers, GA 30013
Phone
(678) 642-2052

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia