Individual
CARLOS LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
597 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
(770) 219-7777
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
079514
GA
Other
Enumeration date
06/09/2014
Last updated
11/01/2022
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