Luce, David

Luce, David is an individual health care provider with primary practice located at 777 Hemlock Street , Macon GA 31201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Luce, David can be contacted via phone (478) 633-6706.

Contact Information

Primary practice address
777 Hemlock Street Macon GA 31201
Phone: (478) 633-6706
Fax: (478) 633-5384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003518 Georgia

Profile Details

NPI number 1689895591
LBN Legal business name Luce, David
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated May 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689895591 NPPES
Georgia Other 970015867 RAILROAD MCR - MCCG
Georgia MEDICAID 100001363A RAILROAD MCR - MCCG
Georgia Other 100001363A RAILROAD MCR - MCCG
Georgia Other 344351 RAILROAD MCR - MCCG

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