Charles David Lutin MD

NPI 1881640266 - Emergency Medicine - 207P00000X

NPI Details
NPI 1881640266
Gender Male
Enumeration Date 05/26/2006
Last Updated 06/25/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
597 S ENOTA DR NE
GAINESVILLE GA, 30501-2545, US
Phone (770) 219-8206
Fax (770) 219-7778
Business Location
601 S ENOTA DR NE
SUITE Q
GAINESVILLE GA, 30501-2400, US
Phone (770) 219-8206
Fax (770) 219-7778
Toxanomy
Taxonomy Code 207P00000X
License State Georgia
License Number 067061
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According to our database, Dr. Charles David Lutin MD NPI is 1881640266, taxonomy code is 207P00000X and license number is 067061, license state is located at Georgia. Charles David Lutin MD physically located at 597 S Enota Dr Ne, Gainesville GA, 30501-2545. NPI Number Charles David Lutin MD has the Individual type.

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1881640266 NPI number is provided on an as is basis without warranty of any kind. 1881640266 is maintained by the National Plan & Provider Enumeration System. The contents of Charles David Lutin MD are for informational purposes only.