Individual
LUIS ANTONIO QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
5900 HILLANDALE DR STE 320, LITHONIA, GA 30058-3804
(678) 587-4882
(678) 924-8456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
076117
GA
208600000X
Surgery Physician
76117
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2010
Last updated
03/11/2022
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