Organization
ST LUKE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SOLSONA MD (OWNER)
(770) 718-1517
Entity
Organization
Contact information
Practice address
1631 ATLANTA RD, GAINESVILLE, GA 30504-5942
(770) 718-1517
(770) 718-1518
Mailing address
1631 ATLANTA RD, GAINESVILLE, GA 30504-5942
(770) 718-1517
(770) 718-1518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19606
STATE LICENSE
GA
01
—
45753
STATE LICENSE
GA
Enumeration date
11/21/2017
Last updated
11/21/2017
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