Individual
CHARLES LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4295 COUNTRY GARDEN WALK NW, KENNESAW, GA 30152-2399
(401) 301-7218
Mailing address
4295 COUNTRY GARDEN WALK NW, KENNESAW, GA 30152-2399
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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