SearchGeorgia1223G0001X

Bolivar Luperon

NPI 1336202951 · on the registry since 2006

Practice

Address
1 W Court Sq Ste 325
Decatur, GA 30030
Phone
(470) 568-2781
Organisation at this address
Faces, Llc
Kids Speak
Life Tribe Llc
Clinicalmedix Llc
Nation Care Inc Ga
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223P0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia