Individual
MRS. LUCIANN M. MCCARTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
814 DOGWOOD LN, AUGUSTA, GA 30909-2704
(706) 306-3800
(706) 738-2717
Mailing address
1 RETREAT RD, AUGUSTA, GA 30909-1837
(706) 306-3800
(706) 738-8513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 003850
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606273F
—
GA
01
—
10036237
AMERIGROUP OF GEORGIA
GA
01
—
3339653
WELLCARE OF GEORGIA
GA
01
—
52440160
BCBS OF GEORGIA
GA
Enumeration date
12/28/2006
Last updated
10/09/2017
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