Carole C Lane (NPI# 1477501633, PAC ID# 2062537798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477501633 |
| PAC ID by PECOS | 2062537798 |
| Professional Enrollment ID | I20100917000293 |
| Full Name | Carole C Lane |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Address |
106 Westside Dr Dothan AL 36303-0106 |
| Phone Number | 3346993376 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931277233 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| Address | Phone | Organization |
|---|---|---|
| 1543 Professional Pkwy, Auburn, AL 36830-2858 | 8502333376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| 106 Westside Dr, Dothan, AL 36303-0106 | 3346993376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
| Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
| Hannah Garnett | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
| Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
| Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
| Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
| Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
| Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
| Dawn M Hansen | Dermatology | Southeastern Dermatology Group Pa | 2550 Pass Rd, Biloxi, MS 39531-2726 |
| Street Address |
106 WESTSIDE DR |
| City | DOTHAN |
| State | AL |
| Zip | 36303-0106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Jackson | Nurse Practitioner | 106 Westside Dr, Tullahoma, TN 37388-3280 | |
| Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| John A Anderson Iii | Family Medicine | 106 Westside Dr, Tullahoma, TN 37388-3280 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Benjamin L Sneed | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Mary E Weaver | Emergency Medicine | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Michael B Nance | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jason M Martin | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Hassan Kesserwani | Neurology | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Melanie K Cotter | Psychologist, Clinical | 100 Westside Dr, Dothan, AL 36303-1908 | |
| Ivan D Jackson | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Ashley P Pippin | Nurse Practitioner | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Find all physicians in zip 36303 | |||
| City | DOTHAN |
| Zip Code | 36303 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DOTHAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carole C Lane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.