Individual
DENNIS STAMEY-LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 GATEWAY LN, BETHLEHEM, GA 30620-1818
(678) 963-5828
Mailing address
138 GATEWAY LN, BETHLEHEM, GA 30620-1818
(678) 963-5828
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
ALC000534
GA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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