Antonio Luis, M.D., Llc

LBN: Antonio Luis, M.D., Llc
Antonio Luis, M.D., Llc is an health care organization with primary practice located at 1013 Fernwood Dr Ste C , Milledgeville GA 31061-5428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Antonio Luis, M.D., Llc can be contacted via phone (478) 251-6924, or through Braddy, Dennis via phone (478) 295-0526.

Contact Information

Primary practice address
1013 Fernwood Dr Ste C Milledgeville GA 31061-5428
Phone: (478) 251-6924
Fax: (478) 295-3644
Website:
Map and Directions
Authorized official contact:
Name: Braddy, Dennis
Phone: (478) 295-0526

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1912627126
LBN Legal business name Antonio Luis, M.D., Llc
DBA Doing business as
Authorized official Braddy, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2022
Last updated Aug 30th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers