Individual
DAVID LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
777 HEMLOCK STREET, MACON, GA 31201
(478) 633-6706
(478) 633-5384
Mailing address
598 THRID STREET, MACON, GA 31201
(478) 633-6706
(478) 633-5384
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003518
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001363A
PEACHSTATE CMO - MCCG
GA
05
—
100001363A
—
GA
01
—
344351
WELLCARE CMO - MCCG
GA
01
—
970015867
RAILROAD MCR - MCCG
GA
Enumeration date
05/01/2007
Last updated
05/30/2012
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