Organization
LUCA FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIKE C ANIUKWU (MANAGER)
(256) 468-5903
Entity
Organization
Contact information
Practice address
2121 FAIRBURN RD, SUITE B, DOUGLASVILLE, GA 30135-1007
(256) 468-5903
Mailing address
2121 FAIRBURN RD, SUITE B, DOUGLASVILLE, GA 30135-1007
(256) 468-5903
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
054287
GA
Other
Enumeration date
01/11/2013
Last updated
01/25/2013
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