Dr. Lucas Howard Davis, M.D.
Internal Medicine in Augusta, GA. Individual provider (NPI-1).
NPI number1265660799
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1265660799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lucas Howard Davis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 067289 | GA | Yes |
| 207Q00000X | Family Medicine | LL31759 | SC | |
| 207Q00000X | Family Medicine | 67289 | GA |
Practice location
1120 15th StreetAugusta, GA 30912-0004
Phone 706-724-6100
Mailing address
1499 Walton WaySte 1400
Augusta, GA 30901-2603
Phone 706-724-6100
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