Individual
MAY LUZ FALCON BULLECER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 3200, ATHENS, GA 30606-2179
(706) 549-8931
(706) 549-0088
Mailing address
1500 OGLETHORPE AVE, SUITE 3200, ATHENS, GA 30606-2179
(706) 549-8931
(706) 549-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050947
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
050947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955149A
—
GA
Enumeration date
12/01/2006
Last updated
01/06/2017
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