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Dr. Jerry Allen Lucas, MD
Obstetrics Physician in Savannah, Georgia
NPI 1912016742

Jerry Allen Lucas is a Obstetrics Physician based in Savannah, GA and is specialized in Obstetrics. Jerry Allen Lucas practices in Savannah, GA and has the professional credentials of MD. The NPI Number for Jerry Allen Lucas is 1912016742 and holds a License No. 0101055788 (Georgia).

The current practice location address for Jerry Allen Lucas is 5354 Reynolds St Ste 315, Savannah, GA and can be reached out via phone at 912-354-2634.

Location: 5354 Reynolds St Ste 315, Savannah, GA, 31405-4493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912016742
Provider Name
Jerry Allen Lucas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5354 Reynolds St Ste 315, Savannah, GA, 31405-4493
Phone Number
912-354-2634
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45748 01 VA OPTIMA SENTARA ID#
160043283Q 01 VA RAILROAD MEDICARE ID#
541467765 01 VA TAX ID#
006210082 05 VA
20507 01 VA VIRGINIA PREMIER ID #
952279 01 VA AETNA ID#
90992 01 GA STATE LICENSE
5414523 01 VA AETNA
271664 01 VA ANTHEM BC/BS ID#
institution
Provider Business Practice Location Address Details
Address
5354 Reynolds St Ste 315
City
Savannah
State
Georgia
Zip
31405-6010
Phone Number
912-354-2634
Fax Number
person
Provider Business Mailing Address Details
Address
5354 Reynolds St Ste 315
City
Savannah
State
Georgia
Zip
31405-6010
Phone Number
912-354-2634
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
90992 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
0101055788 (Virginia)
Definition
Definition to come...
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