Individual
LUMINITA DUMITRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 COMMERCE PL STE 1, BARNESVILLE, GA 30204-1680
(770) 358-4408
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(561) 221-4712
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003254284A
—
GA
05
—
18563121
—
FL
Enumeration date
01/18/2011
Last updated
09/10/2021
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