Provider Demographics
NPI:1336435262
Name:LANIER, JANE C (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:C
Last Name:LANIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:C
Other - Last Name:VINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3520 PIEDMONT RD NE STE 330
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1552
Mailing Address - Country:US
Mailing Address - Phone:404-351-2008
Mailing Address - Fax:404-351-0243
Practice Address - Street 1:3520 PIEDMONT RD NE STE 330
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1552
Practice Address - Country:US
Practice Address - Phone:404-351-2008
Practice Address - Fax:404-351-0243
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2583052084P0800X, 2084P0804X
GA848502084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry