Judy B Bain
NPI #1679132922 in Lagrange, Georgia
Provider Information
- NPI Number
- 1679132922
- Entity Type
- Organization
- Organization Name
- Judy B Bain
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 11, 2019
- Last Updated
- Jun 11, 2019
Practice Location
Authorized Official
- Name
- ROXIE MOTON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (706) 594-6073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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