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1275637373
ANTONIO M DE LA LUZ
MACON, GA
NPI
1275637373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 28967)
Enumeration Date
2006-09-11
Last Update Date
2014-07-31
Business Address
-- ANTONIO M DE LA LUZ MD
777 HEMLOCK ST MSC10
MACON, GA 31201-2102
Phone number: 478-633-1146
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Mailing Address
-- ANTONIO M DE LA LUZ MD
2490 RIVERSIDE DR STE B
MACON, GA 31204-1787
Phone number: 478-633-6633
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