Individual
JASON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-6382
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 778-6382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074483
GA
207R00000X
Internal Medicine Physician
A124216
CA
208M00000X
Hospitalist Physician
Primary
074483
GA
Other
Enumeration date
04/06/2009
Last updated
02/01/2016
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