Individual
LUVIKA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH STREET BI 5070, AUGUSTA, GA 30912
(706) 721-2423
Mailing address
3760 PEACHBLUFF COURT, DULUTH, GA 30097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15165
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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