Individual
DR. LUTHER VANCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1385 PIO NONO AVE, MACON, GA 31204-4633
(478) 743-1883
Mailing address
1385 PIO NONO AVE, MACON, GA 31204-4633
(478) 743-1883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019354
GA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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