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1518070010
DOREEN LUIS
AUGUSTA, GA
NPI
1518070010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 37601)
Enumeration Date
2006-08-17
Last Update Date
2007-12-19
Business Address
-- DOREEN LUIS MD
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-722-9011
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Mailing Address
-- DOREEN LUIS MD
PO BOX 532780
ATLANTA, GA 30353-2780
Phone number: 800-639-0579
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