Individual
MANDY KATRICE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 E. MCPHERSON AVENUE, SUITE A, NASHVILLE, GA 31939-2326
(229) 433-8741
(229) 433-8742
Mailing address
PO BOX 0070, VALDOSTA, GA 31603-0070
(229) 433-8741
(229) 433-8742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
072347
GA
Other
Enumeration date
04/20/2011
Last updated
12/07/2015
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