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Contact Information

ANDREW S LANE, MD
890 W FARIS RD STE 470
GREENVILLE, SC29605-4281
 Phone: 864-455-1600
 Fax: 864-455-3095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ANDREW S LANE · (Male)

NPI Number 1225390107
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2012
Last updated 05/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 34901
  • VA Medicaid 1225390107
  • VA Other 1225390107 AETNA
  • VA Other 1225390107 CORVEL
  • VA Other 1225390107 MULTIPLAN
  • VA Other 1225390107 TRICARE/CHAMPUS
  • VA Other 1225390107 VIRGINIA HEALTH NETWORK
  • VA Other 1225390107 VIRGINIA PREMIER HEALTH PLAN
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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