Judy B Bain
Judy B Bain is a Clinic/Center in Lagrange, Georgia. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
104 Harwell Ave Ste 236Lagrange, GA 30240-3132
Phone: (706) 885-0111
Fax: (706) 885-0607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1679132922 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roxie Moton — Credentialing Specialist · (706) 594-6073 |
| NPI enumerated | June 11, 2019 |
| Last updated in NPPES | June 11, 2019 |
| Mailing address | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 |
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