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1093725079
JAMES EDWIN LUCKIE
FITZGERALD, GA
NPI
1093725079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 19720)
Enumeration Date
2006-08-09
Last Update Date
2008-08-26
Business Address
Dr. JAMES EDWIN LUCKIE D.O.
182 PERRY HOUSE RD SUITE E
FITZGERALD, GA 31750-8721
Phone number: 229-423-8725
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Mailing Address
Dr. JAMES EDWIN LUCKIE D.O.
PO BOX 1349
FITZGERALD, GA 31750-1349
Phone number: 229-423-8725
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