Individual
MS. MARY ANN LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3289 SALEM RD, COVINGTON, GA 30016-1863
(770) 760-1396
(770) 760-7904
Mailing address
3289 SALEM RD, COVINGTON, GA 30016-1863
(770) 760-1396
(770) 760-7904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006420
GA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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