Organization
LUCIUS SEPTIMIUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A CLOWERS SR. (MANAGING MEMBER)
(678) 545-9195
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(678) 545-9195
Mailing address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(678) 545-9195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
10/14/2024
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