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Individual

LUCAS WOODALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
EMORY TRANSPLANT CENTER 1365 ECLIFTON RD NE BLDG B, ATLANTA, GA 30322-1179
(855) 366-7989
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
10276
GA
363A00000X
Physician Assistant
Primary
10276
GA
363A00000X
Physician Assistant

Other

Enumeration date
12/02/2020
Last updated
10/15/2024
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