Luis, Antonio
Luis, Antonio is an sole proprietor health care provider with primary practice located at 1013 Fernwood Dr Ste B, Milledgeville GA 31061-5428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Luis, Antonio can be contacted via phone (478) 251-6924.Contact Information
Primary practice address
1013 Fernwood Dr Ste B
Milledgeville GA 31061-5428
Phone: (478) 251-6924
Fax: (478) 295-3644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 23579 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 023759 | Georgia |
Profile Details
| NPI number | 1093958050 |
|---|---|
| LBN Legal business name | Luis, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2009 |
| Last updated | Oct 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093958050 | NPPES |
| Georgia | Other | 023759 | LICENSE # |
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