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DR. LANA BATES ATCHLEY DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1265584064

Individual Registrant:
DR. LANA BATES ATCHLEY DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
3544 HWY 431 NORTH/280 WEST  PHENIX CITY, AL 36867 US
Tel: 334-298-9900  Fax: --

Contact information for business:
8643 CREEKRISE DR  COLUMBUS, GA 31904-1400 US
Tel: 706-327-0168  Fax: --

Registration Information:
NPI: 1265584064
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
ALAL4617
N1223G0001XDental Providers
Dentist
FLDN13802

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEA NUMBERBA4253201AL01
009957060AL05




HEALTH CARE JOBS AL - Page 1



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