Individual
LUIS PLUGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2151 W SPRING ST STE B140, MONROE, GA 30655-3211
(706) 613-5880
Mailing address
1061 DOWDY RD STE 100, ATHENS, GA 30606-5700
(706) 621-7555
(706) 621-7557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10520
GA
Other
Enumeration date
09/26/2019
Last updated
02/18/2025
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