Individual
LUKE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 BOWMAN ROAD, MACON, GA 31210
(478) 741-3007
Mailing address
110 SUFFOLK LN, WARNER ROBINS, GA 31088-1167
(478) 396-0487
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN255442
GA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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