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1205001542
LUTHER VANCE
MACON, GA
NPI
1205001542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 019354)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Dr. LUTHER VANCE MD
1385 PIO NONO AVE
MACON, GA 31204-4633
Phone number: 478-743-1883
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Mailing Address
Dr. LUTHER VANCE MD
1385 PIO NONO AVE
MACON, GA 31204-4633
Phone number: 478-743-1883
Copy
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