Search › Georgia › 2255A2300X
Jared Luke, MED, ATC, LAT
NPI 1841470473 · on the registry since 2007 · sole proprietor
Practice
- Address
- 256 Raleigh Way
Villa Rica, GA 30180 - Phone
- (678) 787-9291
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-05
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