Individual
LORENZO CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(706) 653-1088
(706) 653-1162
Mailing address
PO BOX 1828, ALBANY, GA 31702-1828
(706) 653-1088
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
046057
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
046057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
52673952 003
GA
Enumeration date
11/30/2005
Last updated
09/11/2025
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