Luke, William Douglas

Luke, William Douglas is an individual health care provider with primary practice located at 410 Connell Rd , Valdosta GA 31602-1898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Luke, William Douglas can be contacted via phone (229) 244-4720.

Contact Information

Primary practice address
410 Connell Rd Valdosta GA 31602-1898
Phone: (229) 244-4720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 070240 Georgia

Profile Details

NPI number 1326250036
LBN Legal business name Luke, William Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Mar 3rd, 2014 - about 12 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 1326250036 NPPES
Georgia MEDICAID 003136263A

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