Individual
DR. JOSE LUCAS CANGIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(855) 333-9544
Mailing address
3500 DULUTH PARK LN, SUITE 410, DULUTH, GA 30096-3242
(678) 957-0898
(678) 957-0939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
044182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00889094B
—
GA
Enumeration date
09/26/2006
Last updated
11/20/2019
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