Individual
LUKE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON ROAD NE, ATLANTA, GA 30322
(404) 712-2000
Mailing address
803 AUMOND PLACE WEST, AUGUSTA, GA 30909
(706) 814-8675
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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