Organization
CARLTON A LUE, MD,PC
Active
Other names
Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON A LUE M.D. (OWNER)
(229) 424-7331
Entity
Organization
Contact information
Practice address
182 PERRY HOUSE RD, SUITE A, FITZGERALD, GA 31750-8721
(229) 424-7331
(229) 424-7328
Mailing address
PO BOX 369, FITZGERALD, GA 31750-0369
(229) 424-7331
(229) 424-7328
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
042340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00720376A
—
GA
05
—
330401
—
GA
Enumeration date
01/12/2007
Last updated
08/22/2020
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