Individual
DR. LUCAS HOWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
67289
GA
207Q00000X
Family Medicine Physician
LL31759
SC
207R00000X
Internal Medicine Physician
Primary
067289
GA
Other
Enumeration date
06/23/2009
Last updated
11/24/2020
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