Individual
DR. SALVATORE JOSEPH LUCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3280 MITCHELL BLVD, 23 AMDS/FLIGHT MEDICINE CLINIC, MOODY AFB, GA 31699-1500
(229) 257-2103
Mailing address
3280 MITCHELL BLVD CREDENTIALS OFFICE, MOODY AFB, GA 31699-1500
(229) 257-1459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01052044A
IN
2083A0100X
Aerospace Medicine Physician
Primary
01052044A
IN
Other
Enumeration date
08/30/2005
Last updated
05/06/2022
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