| Tyrone D. Lane Enterprises, Incorporated | |
|
5304 Panola Industrial Boulevard Suite L Decatur GA 30035 | |
| (678) 677-4041 | |
| Not Available |
| Full Name | Tyrone D. Lane Enterprises, Incorporated |
|---|---|
| Speciality | Case Management |
| Location | 5304 Panola Industrial Boulevard, Decatur, Georgia |
| Authorized Official Name and Position | Tyrone D. Lane (PRESIDENT/CEO) |
| Authorized Official Contact | 6786774041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone D. Lane Enterprises, Incorporated 5304 Panola Industrial Boulevard Suite L Decatur GA 30035 Ph: (678) 677-4041 | Tyrone D. Lane Enterprises, Incorporated 5304 Panola Industrial Boulevard Suite L Decatur GA 30035 Ph: (678) 677-4041 |
| NPI Number | 1972927861 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972927861 | NPI | - | NPPES |
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